急性胆囊炎腹腔镜胆囊切除术1328例分析  

Laparoscopic cholecystectomy in acute cholecystitis

作　　者：程刚[1] 罗伟[1] 秦红军[1] 

机构地区：[1]武警四川总队乐山医院肝胆科,四川乐山614000

出　　处：《西部医学》2010年第6期1019-1020,共2页Medical Journal of West China

摘　　要：目的总结急性胆囊炎腹腔镜胆囊切除术(Laparoscopic cholecystectomy,LC)的经验,探讨急性胆囊炎LC术中胆管损伤的原因及预防。方法回顾性分析1328例急性胆囊炎腹腔镜胆囊切除患者的临床资料,对胆管损伤的原因进行分析,并探讨对照预防措施。结果手术成功1296例,中转开腹32例,所有病例均痊愈出院,未发生一例胆管损伤。结论急性胆囊炎行LC是安全和可行的;手术技巧和术中的决策是预防胆管损伤的关键。Objective To analyze the prevention of bile duct injury in laparoscopic cholecystectomy（LC） in acute cholecystitis.Method Clinical data of 1328 cases of LC for acute cholecystitis patients were retrospectively analyzed.Result 1296 cases were successfully operated,and 32 cases were transformed to laparotomy.All cases were discharged,and no case of bile duct injury occurs.Conclusion LC for acute cholecystitis is safe and feasible.Surgical techniques and intraoperative decision-making is the key to prevention of bile duct injury.

关 键 词：急性胆囊炎 腹腔镜胆囊切除术 胆管损伤 

分 类 号：R657.41[医药卫生—外科学]