急性胆囊炎腹腔镜切除术：附58例报告

目的 探讨胆囊管结石的治疗方法。方法回顾性分析近6年来收治的158例胆囊管结石病例的临床资料。结果 97例胆囊管结石行开腹手术取出结石；61例胆囊管结石行腹腔镜胆囊切除手术，其中49例于术中切除胆囊时一并取出结石，12例于术后经十二指肠镜取出结石。结论 胆囊管结石尽可能于术中切除胆囊时一并处理，如结石或结石碎片掉入胆总管，除开腹手术时可切开胆总管取出结石外，行LC者于术后经十二指肠镜处理，不失为一种创伤小、恢复快、疗效肯定的治疗方法。

Laparoscopic cholecystectomy for acute cholecystitis:a report of 58 cases

Objective To study the therapeutic methods of cholecystic duct stones. Methods A retrospective analysis of the clinical data of 158 cases of cholecystic duct stones treated in the recent 6 years was made. Results 97 of the 158 cases of cholecystic duct stones were removed by open surgical operation and 61 cases by laparoscopic cholecystectomy(LC).In 49 of the 61 cases treated with LC,the cholecystic duct stones were removed together with removal of the gallbladder, and 12 by duodenoscopy after LC. Conclusions One should strive to extract the cholecystic duct stones while removing the gallbladder. If the stones or stone fragments escape into the common bile duct, they could be removed through a choledochotomy at the time of the open operation ,or by postoparative duodenoscopy in cases undergoing LC. The latter method of treatment is associated with minor trauma, quick recovery and definite therapeutic results.