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目的:探讨腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)治疗急性结石嵌顿性胆囊炎的可行性。方法:总结分析2007年10月至2009年6月36例急性结石嵌顿性胆囊炎行腹腔镜胆囊切除术的经验体会,包括手术适应证及手术技巧等。结果:35例(97.2%)成功完成腹腔镜胆囊切除术,1例(2.8%)中转开腹,无胆管、肠管损伤,无术后出血及围手术期(术后30天)死亡等并发症,均获治愈。术后随访4月～23月无手术并发症。结论:在术者熟练的操作技巧,合理选择中转开腹时机的前提下,急性结石嵌顿性胆囊炎行腹腔镜胆囊切除术安全、可行。
Objective: To investigate the feasibility of laparoscopic cholecystectomy (LC) in the treatment of acute stone incarcerated cholecystitis. Methods: From October 2007 to June 2009 36 cases of acute calculi incarcerated cholecystitis underwent laparoscopic cholecystectomy experience, including surgical indications and surgical techniques. Results: Laparoscopic cholecystectomy was successfully performed in 35 patients (97.2%). One patient (2.8%) underwent laparotomy without complications of bile duct injury, bowel injury, postoperative bleeding and perioperative death (30 days after operation) , Were cured. Postoperative follow-up 4 months to 23 months without complications. CONCLUSION: Laparoscopic cholecystectomy is safe and feasible in acute calculi incarcerated cholecystitis under the skilled operation technique and the reasonable choice of timing of laparotomy.