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本文根据我院１９９２年１２月至１９９３年１０月施行腹腔镜胆囊切除术（ＬＣ）１００例的体会，详细描述了在急性胆囊炎、胆囊萎缩、胆囊颈部及胆囊管结石嵌顿、Ｃａｌｏｔ三角大量脂肪堆积等复杂困难病例中ＬＣ操作的经验。如在Ｃａｌｏｔ三角有致密粘连时如何做逆行胆囊切除。遇到胆囊积液、积脓或急性炎症致胆囊张力增高时，应先行胆囊底部穿刺减压。当结石嵌顿在胆囊颈部或胆囊管时，首先要分离出“球形嵌顿物”，找出突然变细的胆囊管，然后根据情况进行处理。
This article based on our hospital from December 1992 to October 1993 implementation of laparoscopic cholecystectomy (LC) 100 cases of experience, described in detail in acute cholecystitis, gallbladder atrophy, gallbladder neck and gallbladder stones incarceration, Calot triangle Experience with LC manipulation in complex and difficult cases such as massive fat accumulation. How to do retrograde cholecystectomy when there is dense adhesions in the Calot triangle. Encounter gallbladder effusion, empyema or acute inflammation caused by increased gallbladder tension should be the first gallbladder puncture decompression. When stones are implanted in the gallbladder neck or cystic duct, we must first separate the “spherical incarceration” to find sudden thinning of the cystic duct, and then deal with the situation.