腹腔镜治疗急性胆囊炎的手术体会  

Laparoscopic surgical experience in the treatment of acute cholecystitis

作　　者：敖平[1] 

机构地区：[1]惠州市第三人民医院,广东惠州516001

出　　处：《中医临床研究》2016年第24期68-69,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的：探讨腹腔镜治疗急性胆囊炎的手术安全性及其疗效。方法：自2011年3月—2014年9月，我院进行了62例腹腔镜下治疗急性胆囊炎手术。结果：62例患者均行腹腔镜手术，成功行腹腔镜下胆囊切除术59例，2例中转开放手术，1例胆囊造瘘，中转率为3.2%。手术时间52～320min，平均约88min。在62位患者中，有10例患有胆总管结石，笔者予以行腹腔镜下胆总管切开取石＋T管引流术，术后1个月T管造影后拔除T管，没有发现胆漏及其他并发症。术后住院时间6～12d，平均约7d。术后随访3～9个月，未见明显并发症及后遗症。结论：腹腔镜手术治疗急性胆囊炎安全有效。Objective: To explore the safety and therapeutic effect of laparoscopic surgery in the treatment of acute cholecystitis.Methods: 62 patients with acute cholecystitis underwent laparoscopic surgery in our hospital from March 2011 to September 2014. Results:Among the 62 operations, laparoseopic cholecystectomy was succeeded in 59 cases, 2 patients were converted to open surgery and one case was given cholecystostomy, the conversion rate was 3.2%. The operative time for thyroidectomy was 52～320 min, mean 88 min. Out of 62 patients, there are 10 cases of common bile duct stones, who were cured by removing the stones under laparoseope and T tube drainage.The T tube was withdrawn in 2 months after cholangiography. The bile leakage and other complications were not found. The length of postoperative hospital stay was 6～12 d, mean 7 d. Follow-up observations in 62 cases lasted 3～9 months, mean 6 months. No obvious complications and after effects were found. Conclusions: Laparoscopic surgery was safe and effective in the treatment of acute cholecystitis.

关 键 词：腹腔镜 急性胆囊炎 胆囊切除术 

分 类 号：R657.41[医药卫生—外科学]