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目的探讨急性胆囊炎腹腔镜胆囊切除术(LC)的术式、术中处理,并发症的防治。方法回顾性分析2003年3月—2007年4月间272例急性胆囊炎患者临床资料,采用腹腔镜完整胆囊切除术260例,胆囊大部切除术加残余胆囊黏膜电灼破坏术12例。结果无中转开腹者,无死亡、胆道损伤、大出血等严重并发症。结论急性胆囊炎行腹腔镜胆囊切除术(LC)是安全、有效的。其出血少、创伤小、恢复快。
Objective To investigate the surgical procedures, intraoperative management and complications prevention and treatment of laparoscopic cholecystectomy (LC) in acute cholecystitis. Methods The clinical data of 272 patients with acute cholecystitis between March 2003 and April 2007 were retrospectively analyzed. 260 patients underwent complete laparoscopic cholecystectomy, 12 undergone radical gastrectomy combined with residual gallbladder mucosal electrocautery. Results no conversion to open surgery, no death, biliary injury, bleeding and other serious complications. Conclusion Acute cholecystitis undergoing laparoscopic cholecystectomy (LC) is safe and effective. It has less bleeding, less trauma and faster recovery.