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目的探讨腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)治疗急性结石性胆囊炎的手术时机和处理方法。方法回顾分析2003年12月至2008年12月我科收治的80例LC患者。结论中转开腹4例,术后继发性胆总管结石1例,术后发现胆管损伤1例。术后住院3 d~10 d,无严重并发症发生。结论解剖变异、病变程度、术者的责任心和技术因素是LC致治疗急性结石性胆囊炎能否成功的主要原因。急性结石性胆囊炎在急性炎症期行腹腔镜切除术,是可行的,安全的。
Objective To investigate the timing and treatment of laparoscopic cholecystectomy (LC) in the treatment of acute calculous cholecystitis. Methods Retrospective analysis of 80 cases of LC patients admitted to our department from December 2003 to December 2008. CONCLUSIONS: 4 cases were converted to open surgery and 1 case had secondary common bile duct stones. One case of bile duct injury was found after operation. After hospitalized 3 d ~ 10 d, no serious complications occurred. Conclusions Anatomic variation, degree of lesion, responsibility and technical factors of the surgeon are the main reasons for the success of LC-induced acute calculous cholecystitis. Acute calculous cholecystitis laparoscopic resection in acute inflammation is feasible and safe.