摘要
目的 报告100 例腹腔镜胆囊切除术(laparoscopiccholecystectom y,LC)结果。方法 对100 例连续入院良性胆囊疾病患者施行LC,年龄30～78 岁。其中胆囊息肉10 例,单纯胆囊结石53例,急性胆囊炎伴结石12 例,胆囊充满型结石23 例,萎缩性胆囊炎2例,超标准体重19 例。手术史20例,其中上腹部手术史5 例。结果 99 例完成LC,1 例中转开腹。平均手术时间45 m in,平均住院时间8.4 d,平均术后住院3.5 d。胆道损伤1例,术后出血1 例。结论 LC比开腹胆囊切除术治疗胆囊疾病具有创伤小、恢复快。
Objective To report the results of 100 cases of laparoscopic cholecstectomy.Methods 100 consecutive patients with benign gallbladder diseases were administrated for LC.Age ranged from 30 to 78 years old.There were 10 polyps of gallbladder,53 gallstones with chronic cholecystitis,12 acute cholecystitis with stones,23 chronic cholecystitis packed with stones and 2 atrophic chronic cholecystitis.There were 19 overweight,20 with abdominal operative history among which 5 had operative history on upper abdomen.Results 99 cases of LC were successful.There was one conversion case owing to common bile duct injury.The mean operative time was 45 minutes.Total and postoperative hospital stay were 8.4 and 3.5 days in average respectively.One injury of common bile duct and one postoperative bleeding occurred.Conclusion LC was found to have less trauma,better rehabilitation,shorter hospitalization than open cholecystectomy.
关键词
腹腔镜
胆囊切除术
适应证
laparoscopy
cholecystectomy
indication
