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腹腔镜下行急性胆囊炎切除56例临床分析
引用本文:刘岩青,张银喜,王付龙,何钢,付松林,季锡清. 腹腔镜下行急性胆囊炎切除56例临床分析[J]. 临床军医杂志, 2006, 34(1): 52-53
作者姓名:刘岩青  张银喜  王付龙  何钢  付松林  季锡清
作者单位:解放军第285医院,普通外科,河北,邯郸,056001;解放军第285医院,普通外科,河北,邯郸,056001;解放军第285医院,普通外科,河北,邯郸,056001;解放军第285医院,普通外科,河北,邯郸,056001;解放军第285医院,普通外科,河北,邯郸,056001;解放军第285医院,普通外科,河北,邯郸,056001
摘    要:目的总结腹腔镜下行急性胆囊炎切除术的临床经验。方法对本院2003年7月—2005年6月的56例急性胆囊炎病人施行腹腔镜胆囊切除术(LC)的临床资料进行回顾分析。结果51例成功完成LC,中转开腹手术5例,其中因Calot三角解剖不清,周围致密粘连2例,结石嵌顿于胆囊管1例,胆囊动脉出血2例。术后无严重并发症发生。结论只要能把握住手术时机并注重手术技巧,急性胆囊炎患者行腹腔镜下胆囊切除术是安全可行的。

关 键 词:急性胆囊炎  胆囊切除术  腹腔镜
文章编号:1671-3826(2006)01-0052-02
收稿时间:2005-12-26
修稿时间:2005-12-26

Laparoscopic Cholecystectomy for Acute Cholecystitis: A Report of 56 Cases
Liu Yan-qing,Zhang Yin-xi,Wang Fu-long,He Gang,Fu Song-lin,Ji Xi-qing. Laparoscopic Cholecystectomy for Acute Cholecystitis: A Report of 56 Cases[J]. Clinical Journal of Medical Officer, 2006, 34(1): 52-53
Authors:Liu Yan-qing  Zhang Yin-xi  Wang Fu-long  He Gang  Fu Song-lin  Ji Xi-qing
Affiliation:Department of General Surgery, the 285th Hospital of LPA, Handan,056001, China
Abstract:Objective To summarize the clinical experience of laparoscopic cholecystectomy(LC).Methods A retrospective analysis was made on clinical data of 56 cases of acute cholecystitis treated by LC from July 2003 to June 2005.Results Laparoscopic cholecystomy was completed in 51 cases(91.07%) and a conversion to open surgery was required in 5 cases(8.92%),Major cause of the conversion included the failure to expose the calot's triangle(2 cases), arterial hemorrhage(2 cases),stone of cystic duct(1 case).Conclusion LC is safe and effective for acute cholecystitis as long as that timing of surgery are properly selected,operative procedure are strictly followed.
Keywords:acute cholecystitis laparoscopic cholecystectomy laparoscopy
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