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腹腔镜胆囊切除术治疗急性胆囊炎

  【中图分类号】R657.4 【文献标识码】B 【文章编号】1672-5085(2007)08-0026-02

  【摘要】目的:探讨腹腔胆囊切除术(LC)治疗急性胆囊炎的可行性及手术技巧。方法:回顾性分析我院2004.5~2007.5月72例急性胆囊炎LC手术的临床资料。结果:LC手术成功69例,中转开腹手术3例,平均手术时间55min(30~180min),术后恢复顺利,1例出现胆漏,经腹腔引流后治愈,术后平均住院5d(3~13d),均痊愈出院。结论:如果具备熟练的腹腔镜操作技术,LC治疗急性胆囊炎是安全可行的。

  【关键词】腹腔胆囊切除术 急性胆囊炎Tile treatment experience of laparoscopic operations for acute cholecystitis(a report of 72 cases) Yang Longjiang

  【Abstract】Objective:To explore feasibility

  of treatment and the surgical technique laparoscopic cholecystectomy (LC) for acute cholecvstitis.Method From May 2004 to May 2007,the clinical date of 72 cases acute cholecystitis was reviewed retrospectively.Results With LC was successful in 69 cases,conversion to open surgery occurred in 3 cases,the average time of operation was 55min(30min~180mih),One case had complicated with bile leak and healed by drainage.The average time of hospitalization after operation was 5d(3d~13d).All patients were healed lastly.Conclusions It is safe and feasible for suergeons who have perfect laparoscopic technique to perform LC as treatment of acute cholecystitis.

  【Key words】Laparoscopy Cholecystectomy acute cholecystitis

  急性胆囊炎因炎症、水肿解剖关系不清,行LC难度大,中转开腹手术率和并发症发生率高。(剩余2689字)

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