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目的:探讨急性结石性胆囊炎腹腔镜手术(Laparoscopic cholecystectomy,简称LC)的可行性及处理方法。方法:对我院2003年6月~2007年6月急性结石性胆囊炎76例进行分析总结。结果:本组LC成功率92.1%(70/76),手术时间40分钟-110分钟,平均65分钟,中转开腹率7.8%(6/76),无严重并发症发生,全部患者均痊愈出院。结论:急性结石性胆囊炎发病早期应积极行腹腔镜胆囊切除术,术中要重视对Calot三角的处理;对胆囊颈胆石嵌顿者,应避免结石残留,急性胆囊炎已逐渐成为腹腔镜胆囊切除术的适应症。
Objective: To investigate the feasibility and treatment of Laparoscopic cholecystectomy (LC) in acute calculous cholecystitis. Methods: 76 cases of acute calculous cholecystitis in our hospital from June 2003 to June 2007 were analyzed and summarized. Results: The success rate of LC in this group was 92.1% (70/76). The operation time was 40 minutes to 110 minutes with an average of 65 minutes. The conversion rate to open laparotomy was 7.8% (6/76). No serious complication occurred and all the patients were discharged . Conclusions: Laparoscopic cholecystectomy should be actively performed in the early stage of acute calcific cholecystitis, and the treatment of Calot triangle should be emphasized in the operation. For gallbladder gallstone incarceration, the residual stones should be avoided and acute cholecystitis has gradually become laparoscopic cholecystectomy Incision of the indications.