腹腔镜治疗急性嵌顿性胆囊结石247例分析  

Treatment of acute incarcerated gall stones with laparoscopic cholecystectomy in 247 patients

作　　者：吴志宏[1,2] 史宪杰[1] 刘友富[2] 王宏光[1] 梁雨荣[1] 李海林[1] 陈永兵[1] 纪文斌[1] 

机构地区：[1]解放军总医院全军肝胆外科研究所,北京100853 [2]解放军第98医院外科,浙江湖州市313000

出　　处：《军医进修学院学报》2009年第6期808-809,共2页Academic Journal of Pla Postgraduate Medical School

摘　　要：目的探讨腹腔镜胆囊切除术治疗急性嵌顿性胆囊结石的临床应用可行性及价值。方法回顾分析2002年-2007年247例急性结石嵌顿性胆囊炎患者行腹腔镜手术的临床资料。结果腹腔镜手术成功235例,成功率95.14%,中转开腹12例,无胆道损伤,无死亡病例。术后平均住院3.9d。结论LC治疗急性结石嵌顿性胆囊炎是安全、可行的。须严格掌握适应证、手术时机、手术技巧,适时中转手术是提高手术成功率、降低并发症的关键。Objective To explore the feasibility and value of laparscopic cholecystectomy for acute incarcerated gall stones. Methods Clinical data of 247 patients with incarcerated gall stones undergoing laparoscopic cholecystectomy in 2002-2007 were retrospectively analyzed. Results Laparoscopic cholecystectomy was performed in 235 patients, with a success rate of 95.14%. Twelve patients underwent open cholecystectomy with no injury observed in the biliary tract. The average time of hospitalization after operation was 3.9 days. Conclusion Laparscopic cholecystectomy for acute incarcerated gall stones is safe and feasible. The keys to successful operation and less complication are the operation indication, time, and technique.

关 键 词：腹腔镜 胆囊切除术 急性胆囊炎 结石嵌顿 

分 类 号：R657.4[医药卫生—外科学]