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目的:观察腹腔镜胆囊切除术(LC)治疗急性胆囊炎的临床疗效,总结手术经验。方法:对103例急性胆囊炎行腹腔镜胆囊切除术患者的临床资料进行回顾性分析。结果:103例患者中93例成功完成腹腔镜胆囊切除术,成功率90.3%,10例中转开腹,中转率9.7%,手术时间30～160分钟,平均56分钟,术中出血量15～130ml,平均100ml,术后住院时间3～11天。术后并发症5例,经对症治疗痊愈出院,无胆管损伤、腹腔内出血、残余小胆囊、胆总管残余结石及死亡等严重并发症。结论:准确掌握手术指征,选用合理的手术技巧,对急性胆囊炎患者进行LC手术是安全可行的,适时的中转开腹是LC避免副损伤的有效手段。
Objective: To observe the clinical efficacy of laparoscopic cholecystectomy (LC) in the treatment of acute cholecystitis and to summarize the surgical experience. Methods: The clinical data of 103 cases of acute cholecystitis undergoing laparoscopic cholecystectomy were analyzed retrospectively. Results: Of 103 patients, 93 cases successfully completed laparoscopic cholecystectomy with a success rate of 90.3%, 10 cases were converted to laparotomy, the conversion rate was 9.7%, the operation time was 30 to 160 minutes, with an average of 56 minutes and the intraoperative blood loss was 15 to 130ml , An average of 100ml, postoperative hospital stay 3 to 11 days. Postoperative complications in 5 cases, cured by symptomatic treatment were discharged, no bile duct injury, intra-abdominal bleeding, residual small gallbladder, common bile duct stones and death and other serious complications. Conclusion: Accurately grasp the surgical indications, the use of reasonable surgical techniques, LC surgery in patients with acute cholecystitis is safe and feasible, timely delivery of laparotomy LC is an effective means to avoid vice injury.