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目的评价腹腔镜胆囊切除术(LC)的安全性和有效性,对2880例LC及其并发症的预防加以总结.方法对2880例良性胆囊疾病患者行LC,术前选择性地行ERCP等影像学检查.结果LC时中转开腹胆囊切除术123例(4?3％),中转原因多为CALOT三角粘连严重,解剖结构不清楚.共发生各种并发症21例(0?72％),其中胆漏4例,出血3例,膈下积液5例,十二指肠穿孔1例,胆总管残留结石8例,均治愈.无手术死亡病例,也无胆道损伤等严重并发症发生.结论手术者的胆道外科素质,选择性术前ERCP检查,慎重细致的手术操作,是预防胆道损伤等严重手术并发症发生的重要因素.“,”AIM To evaluate the safety and efficacy of laparoscopic cholecystectomy (LC) and analyse the results of 2880 patients undergoing LC and complications. METHODS LC was performed in 2880 patients with benign sallbladder diseases. Of the patients, 282 were examined with preoperative endoscopic retrograde cholangiopancreatography (ERCP). RESULTS The conversion to open surgery was needed in 123 (4 3%) patients. Reasons for conversion to open surgery included dense adhension of Calot''s triangle, anatomic un...