【摘要】 目的　总结连续开展腹腔镜胆囊切除术 (LC) 6 0 0例无胆管损伤等严重并发症的成功经验。方法　回顾分析本组成功实施LC 6 0 0例的临床资料 ,其中胆囊结石 46 6例 ,急性胆囊炎 2 3例 ,胆囊息肉 85例 ,胆囊结石合并息肉 15例 ,慢性胆囊炎 11例。结果　完成 5 88例 ,中转手术 12例 ,6 0 0例全部治愈 ,无胆管损伤等严重并发症发生。结论　严格的技术培训 ,采用钝性锐性分离相结合法谨慎解剖Calot三角 ,适时中转手术是成功避免LC术中胆管损伤等严重并发症的关键更多还原

【Abstract】 Objective To summarize the successful experience of LC 600 cases without biliary tract injury and other severe complications.Methods Retrospective analysis was made on 600 patients underwent LC successfully including 466 cases of gallbladder gallstone, 23 cases of acute cholecystitis, 85 cases of gallbladder polyps, 15 cases of gallbladder gallstone with polyps, 11 cases of chronic cholecystitis.Results LC was performed on 588 cases, 12 cases converted to open cholecystectomy. All patients were cured without biliary tract injury and other severe complications.Conclusion It is key point for preventing biliary tract injury to keep strict technique training,to disect carefully the calot triangle by dull and sharp dissection, and to convert to open cholecystectomy timely. [更多还原