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目的探讨腹腔镜残余胆囊切除可行性。方法回顾性分析我院36例患者行腹腔镜残余胆囊切除的临床资料。结果36例残余胆囊患者腹腔镜手术均顺利完成,时间50~150min,平均65min,术中出血10~120ml,平均30ml,13例放置文氏孔引流管,术后3d复查腹部B超证实无腹腔积液后拔除,术后住院5~9d,平均6d,术中无大出血及胃肠道、胆道损伤等并发症发生。术后病检示残余胆囊慢性炎症改变,随访2个月~2年,无黄疸及腹部疼痛等症状。结论腹腔镜残余胆囊切除手术安全、有效。“,”Objective To investigate the feasibility of laparoscopic operation for residual gal bladder. Methods The clinical data of 36 patients suf ered from residual gal bladder and underwent laparoscopic operation were analyzed retrospectively. Results Al the 36 patients were successful y received laparoscopic surgery. The mean operative time was 65 min( range from 50 min to 150 min ), and the mean intraoperative blood loss was 30ml( range from 10ml to 120ml), Winslow drainage tube was placed in 13 cases and removed when it was confirmed by B-ultrasound reexamination that no ascites remains on the third day after operation. The mean postoperative hospital stay was 6d,(range from 5 d to 9d) and no complication such as intraoperative hemor hea, gastrointestinal or bile duct injury had been occur ed. During a fol ow-up period ranged from 2m to 2y, the abdominal pain of these patients had been relieved and no complications like jaundice occur ed. Conclusion laparoscopic operation for patients with residual gal bladder is safe, feasible and ef ective.