【摘要】 我院于1991年11月在省内率先引进腹腔镜胆囊切除术(LC)新技术,迄今已行胆囊切除70例。男19例,女51例,年龄28～67岁,平均年龄46岁。慢性胆囊炎并胆囊结石62例,胆囊息肉8例。本组病例均经B超诊断,口服或静脉胆道造影检查。手术最长时间为150分钟,最短时间为30分钟,平均时间为55分钟。70例有3例因严重粘连,出血改行开腹手术。术后出现胆漏1例,内出血1例,2例均再次手术而愈。无死亡病例。本组病人术后均用抗生素3～5天,不用止痛药。术后8～10小时均可下床活动,24小时内恢复肠蠕动并开始进流质。约10～15天可恢复正常生活与工作。更多还原

【Abstract】 The new technique of laparoscopic cholecystectomy has been first introduced by our hospital in Jiangxi in November in 1991. So far, in 70 petients this operation had been carried. The 70 patients included 19 men and 51 women, ther age range from 28 to 67, averagn 46 years old, 62 petients of all 70 patients have suffered from chronic cholecystitis and cholecystolithiasis. The other 8 patients have suffered from cholecyst polyp. All patients in this report have been diagnosed by B model ultrasonic and cholangiography by taking medium contrast orally or iv. The longest time for this operation is 150 minutes. The shortest is 30 minutes. Its average time is 55 minutes. 3 patients of 70 patients have been changed to routine laparatomia lumberis because of serious adhacosis and bleeding. There is one billiary fistula and another interaabdomenal bloeding in postoperation. The 2 patients are cured by operation again. An patients in these cases are alive and in these cases antibitic are used for 3--8 days in postoperation. Antaugica aren’t used. All patients can walk in 8--10 hours of postoperation, intestines movement restore in 24 hours, then patients cat fluid food. Patients resume normal life and work in about 10--15 days.更多还原