【摘要】 腹腔镜手术治疗急性胆囊炎229例,其中胆囊切除术219例,胆囊造控术1例,中转开腹手术9例。除5例发生手术并发症、3例术后胆总管残余结石外,余均经过良好。对手术指征、手术时机、具体操作方法、胆总管残留结石的预防等进行了讨论。在术前及镜下评估手术难度,结合手术经验、技巧及器械设备条件,妥善选择病例,对急性胆囊炎行腹腔镜胆囊切除术,可取得与择期手术相同的满意效果。更多还原

【Abstract】 Laparoscopic surgery for acute cholecystitis were performed in 229 cases, including 219 cases of cholecystectomy, 1 case of cholecystostomy and 9 case being converted to open laparotomy. The results were good except for 5 cases of operative complication and 3 cases of retained CBD stone. Indication, technique, favourable time for operating, and prevention of CBD retained stone were discussed. It is concluded that the importance of patient evaluation and then patient selection according to the skill level and equipment condition must be stressed. If so, laparoscopic surgery may be performed safely in the setting of acute inflammation, with those patients enjoying the same benefits as those undergoing elective laparoscopic surgery.更多还原