【中图分类号】r657.4【文献标识码】b【文章编号】1672-5085（2007）08-0026-02
【摘要】目的:探讨腹腔镜胆囊切除术（lc）治疗急性胆囊炎的可行性及手术技巧。方法：回顾性分析我院2004．5～2007．5月72例急性胆囊炎lc手术的临床资料。结果：lc手术成功69例，中转开腹手术3例，平均手术时间55min（30～180min），术后恢复顺利，1例出现胆漏，经腹腔引流后治愈，术后平均住院5d（3～13d），均痊愈出院。结论：如果具备熟练的腹腔镜操作技术，lc治疗急性胆囊炎是安全可行的。
【关键词】腹腔镜胆囊切除术急性胆囊炎tiletreatmentexperienceoflaparoscopicoperationsforacutecholecystitis（areportof72cases）yanglongjiang
【abstract】objective:toexplorefeasibility
oftreatmentandthesurgicaltechniquelaparoscopiccholecystectomy（lc）foracutecholecvstitis.methodfrommay2004tomay2007,theclinicaldateof72casesacutecholecystitiswasreviewedretrospectively.resultswithlcwassuccessfulin69cases,conversiontoopensurgeryoccurredin3cases,theaveragetimeofoperationwas55min（30min～180mih）,onecasehadcomplicatedwithbileleakandhealedbydrainage.theaveragetimeofhospitalizationafteroperationwas5d（3d～13d）.allpatientswerehealedlastly.conclusionsitissafeandfeasibleforsuergeonswhohaveperfectlaparoscopictechniquetoperformlcastreatmentofacutecholecystitis.
【keywords】laparoscopycholecystectomyacutecholecystitis
急性胆囊炎因炎症、水肿解剖关系不清，行lc难度大，中转开腹手术率和并发症发生率高。
