CAJ | 학술논문

目的：探讨对急性胆囊炎患者实施腹腔镜胆囊手术的临床效果、注意要点。方法选择2011年4月～2013年5月上海市江湾医院外科实施腹腔镜胆囊手术的急性胆囊炎患者198例，回顾性分析患者的临床资料。结果198例患者中中转开腹3例，无死亡病例；1例患者出现胆囊床迷走胆管胆瘘，经负压球持续引流1周而治愈；2例患者术后出现主操作孔感染，经换药引流后治愈；患者术后住院7～40 d；患者术后保持6个月随访，无其余并发症出现，辅助检查显示正常。结论对急性胆囊炎患者实施腹腔镜胆囊全切除术效果确切，安全可行。
목적：탐토대급성담낭염환자실시복강경담낭수술적림상효과、주의요점。방법선택2011년4월～2013년5월상해시강만의원외과실시복강경담낭수술적급성담낭염환자198례，회고성분석환자적림상자료。결과198례환자중중전개복3례，무사망병례；1례환자출현담낭상미주담관담루，경부압구지속인류1주이치유；2례환자술후출현주조작공감염，경환약인류후치유；환자술후주원7～40 d；환자술후보지6개월수방，무기여병발증출현，보조검사현시정상。결론대급성담낭염환자실시복강경담낭전절제술효과학절，안전가행。
Objective To explore the clinical effect of laparoscopic operation, the implementation of the patients with acute cholecystitis points. Method During the period from April 2011 to May 2013,clinical data of 198 patients with acute cholecystitis laparoscopic gallbladder operation were retrospectively analyzed. Results All patients in the laparotomy in 3 cases, there was no death case;1 patient had gallbladder bile biliary ifstula, the negative pressure ball drainage and cured after a week;the main operating hole infection occurred in 2 cases of postoperative patients after dressing change, cured after drainage;postoperative hospitalization days 7-40;6 months follow-up. No other complications occurred, auxiliary examination was normal. Conclusion Laparoscopic cholecystectomy for acute cholecystitis patients total resection is effective, safe and feasible.