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目的探讨腹腔镜胆囊切除(LC)治疗急性胆囊炎的临床疗效。方法回顾性分析行LC胆囊切除的42例急性结石性胆囊炎患者的临床资料,对其进行归纳总结。结果 39例(92.6%)患者成功行LC,中转开腹3例(7.4%)。所有患者均无胆管损伤、术后出血及胆漏、腹腔内脏器损伤等并发症发生。术后随访6～12个月,患者均康复,未再出现胆囊炎的症状与体征。结论 LC治疗急性结石性胆囊炎是一种实用、安全、有效的手术方法,值得基层医院推广应用。
Objective To investigate the clinical efficacy of laparoscopic cholecystectomy (LC) in the treatment of acute cholecystitis. Methods The clinical data of 42 patients with acute cholecystitis of cholecystitis who underwent LC cholecystectomy were analyzed retrospectively. Results Of the 39 patients (92.6%), LC was successfully performed in 3 cases (7.4%). All patients had no bile duct injury, postoperative bleeding and bile leakage, intra-abdominal organ injury and other complications. After 6 to 12 months of follow-up, the patients recovered and no recurrence of cholecystitis symptoms and signs. Conclusion LC treatment of acute calculous cholecystitis is a practical, safe and effective surgical method, it is worth to promote the use of grass-roots hospitals.