CAJ | 학술논문

目的：探讨腹腔镜胆囊切除术（LC）治疗胆囊结石伴急性胆囊炎的手术技巧。方法对我院2012年1～12月89例胆囊结石伴急性胆囊炎患者施行LC操作经验进行总结分析，并与2011年1～12月期间收治的行开腹手术的胆囊结石伴急性胆囊炎患者71例进行对比分析。结果行LC的患者成功完成LC者87例（97.75％），中转开腹2例（2.25％）。手术时间（46±9）min，住院时间（5.0±1.3）d。行开腹手术者，手术时间（59±10）min，住院时间（9.1±2.3）d。结论胆囊结石伴急性胆囊炎行LC是安全可行的，熟练掌握LC操作技巧可提高手术成功率。
목적：탐토복강경담낭절제술（LC）치료담낭결석반급성담낭염적수술기교。방법대아원2012년1～12월89례담낭결석반급성담낭염환자시행LC조작경험진행총결분석，병여2011년1～12월기간수치적행개복수술적담낭결석반급성담낭염환자71례진행대비분석。결과행LC적환자성공완성LC자87례（97.75％），중전개복2례（2.25％）。수술시간（46±9）min，주원시간（5.0±1.3）d。행개복수술자，수술시간（59±10）min，주원시간（9.1±2.3）d。결론담낭결석반급성담낭염행LC시안전가행적，숙련장악LC조작기교가제고수술성공솔。
Objective To investigate the surgical skill of laparoscopic cholecystectomy(LC) in the treatment of cholecystolithiasis associated with acute cholecystitis. Methods The operation experience of LC for 89 cases with cholecystolithiasis associated with acute cholecystitis in our hospital from January 2012 to December 2012 were summarized and analyzed, and which were compared with 71 cases with cholecystolithiasis associated with acute cholecystitis underwent the laparotomy from January 2011 to December 2011. Results Among the patients underwent the LC, there were 87 cases(97.75%) who completed the LC successfully, and 2 cases(2.25%) who were converted to the laparotomy, and the operation time was (46±9)min, the length of stay was (5.0±1.3)d. Among the patients underwent the laparotomy, the operation time was (59±10)min, the length of stay was (9.1±2.3)d. Conclusion LC for cholecystolithiasis associated with acute cholecystitis is safe and effective. Skilled procedure of LC may improve the success rate of operation.