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目的探讨腹腔镜胆囊切除术治疗72h内急性胆囊炎(AC)的可行性。方法回顾性分析2009年1月至2012年10月期间在腹腔镜下进行胆囊切除术35例AC患者的临床资料。观察并分析患者的手术时间、手术成功率、中转开腹率、住院时间及术中、术后并发症。结果全组手术时间50～130min,手术成功33例(94.3%),中转开腹2例(5.7%)。所有病例均痊愈出院,无胆道损伤、腹腔大出血及感染等并发症发生。结论严格按照腹腔镜手术基本原则并掌握一定的手术技巧,应用腹腔镜胆囊切除术治疗AC安全可行。
Objective To investigate the feasibility of laparoscopic cholecystectomy for the treatment of acute cholecystitis (AC) within 72 hours. Methods The clinical data of 35 patients undergoing laparoscopic cholecystectomy from January 2009 to October 2012 were retrospectively analyzed. The operation time, success rate of operation, conversion rate to laparotomy, length of hospital stay, intraoperative and postoperative complications were observed and analyzed. Results The total operation time was 50 ~ 130min. The operation was successful in 33 cases (94.3%) and in 2 cases (5.7%). All cases were cured and discharged without biliary injury, intra-abdominal hemorrhage and infection complications. Conclusion In strict accordance with the basic principles of laparoscopic surgery and master certain surgical techniques, the application of laparoscopic cholecystectomy AC safe and feasible.