摘要
目的探讨急性胆囊炎的腹腔镜胆囊切除术手术技巧和手术安全性。方法回顾分析76例急性胆囊炎腹腔镜胆囊切除的临床资料。结果本组75例腹腔镜手术成功，手术时间45-130min，平均72min，1例中转开腹手术治愈，42例术中放置腹腔引流管，3例术后短时胆漏，均经术中放置的腹腔引流管引流后停止，无腹腔大出血、腹腔感染病例，无死亡病例。结论腹腔镜胆囊切除治疗急性胆囊炎是安全可行的，正确认识其病理特点，提高手术技巧，灵活采用不同的手术方法能有效减少并发症和降低中转开腹率。
Objective： To discuss the surgical technique and safety of laparoscopic cholecystectomy. Methods： The clinical data of 76 cases with acute cholecystitis undergone laparoscopic cholecystectomy were analyzed retrospectively. Results： Among 76 cases, 75 succeed. The operation time was 45-130 rain, the average time was 72 min. One case had laparotomy during operation. 42 cases were put abdominal drainage tube. 3 cases suffered bile leakage for a short time after the surgery, and all stopped by abdominal drainage tube. No case suffered massive haemorrhage, infection or death. Conclusions： Laparoscopic cholecystectomy is a safe and feasible treatment of acute cholecystitis.
出处
《井冈山大学学报（自然科学版）》
2010年第1期109-111,共3页
Journal of Jinggangshan University (Natural Science)
关键词
急性胆囊炎
胆囊切除术
腹腔镜
手术技巧
acute cholecystitis
cholecystotomy
laparoscope
surgical skills
