【摘要】 目的:探讨不同病理状态下结石嵌顿性胆囊炎腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)的临床应用价值。方法:回顾分析1999年3月至2007年2月427例结石嵌顿性胆囊炎患者行腹腔镜手术的临床资料。结果:腹腔镜手术成功409例,成功率95.78%,中转开腹18例,中转率4.22%。术中出血1例,术后并发胆漏2例,胆道残余结石3例,切口感染3例,并发症发生率2.11%,无胆道损伤,无死亡病例。结论:LC治疗结石嵌顿性胆囊炎是安全、可行的。须严格掌握适应证、手术时机、手术技巧,适时中转手术是提高手术成功率、降低并发症的关键。更多还原

【Abstract】 Objective:To explore the clinical value of laparoscopic cholecystectomy(LC) on incarcerated calculus in gallbladde in various pathological conditions.Methods:The clinical data of 427 patients who underwent LC between Mar.1999 and Feb.2007 was analyzed retrospectively Results:In the series,operations of 409 cases were succeed,the incidence was 95.78%,18 cases were converted to open operation,the ratio was 4.22%.In the operations,1 case had haemmorhage,after operation 2 patients had biliary leakage,3 patients had remain calculi in bile duct,3 patients had incision infections,the incidence of complication was 2.11%.All cases had no death or injury to bile duck.Conclusions:LC is feasible and safe in patients with in carceratea calculus.The keys to successful operation and fewer complication are operation application,opportunity,technique and to convert open operation timely.更多还原