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目的:探讨腹腔镜胆囊切除术治疗急性胆囊炎的方法及疗效。方法:回顾性分析我院2005-10/2008-10急性胆囊炎行腹腔镜胆囊切除术82例的临床资料。结果:78例成功完成腹腔镜胆囊切除术,4例中转开腹手术,26例温氏孔放置引流管。结论:急性胆囊炎行腹腔镜胆囊切除术可行、有效。严格掌握手术指征、规范操作、合理放置引流是手术关键。腹腔镜手术遇困难时,可适时中转开腹。
Objective: To investigate the method and efficacy of laparoscopic cholecystectomy in the treatment of acute cholecystitis. Methods: The clinical data of 82 cases of acute cholecystitis undergoing laparoscopic cholecystectomy in our hospital from October 2005 to October 2008 were retrospectively analyzed. Results: Laparoscopic cholecystectomy was successfully performed in 78 cases, laparoscopic cholecystectomy in 4 cases and laparotomy in 26 cases of Wen’s hole. Conclusions: Laparoscopic cholecystectomy in acute cholecystitis is feasible and effective. Strict control of surgical indications, standardized operation, reasonable drainage is the key to surgery. Laparoscopic surgery in case of difficulties, timely conversion to open laparotomy.