摘要
目的:探讨腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)治疗急性胆囊炎的可行性及安全性。方法:回顾分析2000年2月至2011年8月为420例急性胆囊炎患者行LC的临床资料。结果:402例顺利完成LC。18例中转开腹行胆囊切除术,其中Mirizzi综合征5例,胆囊三角"冰冻样"粘连12例,1例胆总管损伤行胆管修补及T管引流术,术后6个月拔除T管。5例术后发生胆漏,均保守治疗痊愈。术后随访6～12个月,无胆管狭窄、胆管残余结石、残余小胆囊等严重并发症发生。结论:只要术者熟练掌握操作技巧,提高术中应变能力,为急性胆囊炎患者行LC是安全可行的。
Objective：To discuss the feasibility and safety of laparoscopic cholecystectomy（LC） in treatment of acute cholecystitis.Methods：The clinical data of 420 patients with acute cholecystitis who underwent LC from Feb.2000 to Aug.2011 was retrospectively analyzed.Results：The 402 cases of LC were performed successfully,in which 18 cases were changed to open cholecystectomy（5 cases of Mirizzi syndrome,12 cases of gallbladder triangle ＂ice-like＂ adhesion,1 case of bile duct injury underwent biliary T-tube repair and drainage,T tube was removed after 6 months）.5 cases of postoperative bile leakage were treated conservatively and cured.All patients were followed up for 6 months to 12 months,there was no bile duct stricture,residual bile duct calculi,remnants of a small gallbladder or other serious complications.Conclusions：LC treatment of acute cholecystitis is safe and feasible as long as doctors are able to master the surgical technique and they are flexible to face sudden event.
出处
《腹腔镜外科杂志》
2012年第2期140-142,共3页
Journal of Laparoscopic Surgery
关键词
急性胆囊炎
胆囊切除术
腹腔镜
病例报告
Acute cholecystitis
Cholecystectomy
laparoscopic
Case reports
