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目的:总结腹腔镜胆囊切除术(LC)的治疗体会,探讨术中影响因素及术后并发症。方法:对2001年2月—2010年2月我院收治的715例胆囊疾病行LC临床治疗进行分析。结果:本组715例患者,其中急性结石性胆囊炎65例,手术时间为(30~100)min,平均45min。术后常规放置腹腔引流管,约术后(1~3)天拔管。术后并发症6例。胆瘘1例,经腹腔引流后治愈;切口感染4例,经治疗后治愈;中转行开腹手术3例。住院时间(3~14)天,平均住院5天。结论:LC因其创伤小、恢复快、出血少、住院时间短等优点,目前已成为治疗胆囊疾病的首选手术方式。
Objective: To summarize the experience of laparoscopic cholecystectomy (LC) and to explore the influencing factors and postoperative complications. Methods: The clinical data of 715 cases of gallbladder disease treated in our hospital from February 2001 to February 2010 were analyzed. Results: The group of 715 patients, of which 65 cases of acute calculous cholecystitis, operative time (30 ~ 100) min, an average of 45min. Peritoneal drainage tube placed after surgery, about postoperative (1 ~ 3) days extubation. Postoperative complications in 6 cases. One case of biliary fistula was cured by abdominal drainage; four cases were infected by incision and were cured after treatment; 3 cases underwent open laparotomy. Hospitalization time (3 to 14) days, the average hospital 5 days. Conclusion: LC is the first choice for the treatment of gallbladder disease due to its advantages of less trauma, faster recovery, less bleeding and shorter hospital stay.