急性炎症期腹腔镜胆囊切除术的临床应用  

Application of Laparoscopic Cholecystectomy in Treatment of Acute Cholecystitis

作　　者：胡荣生[1] 李秋波[1] 

机构地区：[1]哈尔滨二四二医院,黑龙江哈尔滨150066

出　　处：《哈尔滨医药》2012年第1期1-1,3,共2页Harbin Medical Journal

摘　　要：目的探讨腹腔镜技术在急性胆囊炎治疗中的处理方法及并发症的防治。方法回顾分析365例急性炎症期腹腔镜胆囊切除术临床资料及治疗结果。结果行腹腔镜胆囊切除术365例:成功357例(97.8%),中转开腹8例(2.2%)。其中因胆囊与周围组织粘连紧密无法分离而主动中转开腹5例(1.37%);被动中转开腹3例(0.83%),其中肝外胆管损伤2例、胆囊动脉出血1例。结论急性炎症期腹腔镜胆囊切除术所遇情况复杂多变,随着腹腔镜切除术经验积累,掌握手术技巧,可降低手术难度,减少手术并发症的发生,是安全可行的。Objective To discuss the clinical methods and the prevention of complication in the treatment of acrte cholecystitis by laparoscopy.Methods The 365 cases of acute cholecystitis treated by laparoscopy were retrospectively analysed.Results The 365 cases were performed laparoscopic cholecystectomy（LC）,and 357 Cases（97.8%） obtained succeseful result;8（2.2%）cases were converted to laparotomy.Among those conversions,5 cases（1.37%） belonged initiative conversions（difficult dissection because of severe adhesions of gallbladder with surrounding tissues）;3（0.83%） belonged to obliged conversions（2 cases of injury of bile duct,and 1 case had cystic artery bleeding）.Conclusion Although the conditions that emergent laparoscopic cholecystectomy encounter are complicated and variable,along with the accumulation of experience and the development of surgical skill,difficulty and complication in LC may be greatly decreased.LC in patients with acute cholecystitis is safe and feasible.

关 键 词：腹腔镜 胆囊炎 急性 胆囊切除术 

分 类 号：R657.4[医药卫生—外科学]