CAJ | 학술논문

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安全性。方法回顾性分析84例行腹腔镜胆囊切除术的急性胆囊炎患者的临床资料。结果74例成功行LC手术，10例行中转开腹手术，出血量l0～160mL，平均45mL，手术时间30～120min，平均52min。常规腹腔引流，平均住院时间7.4d，术中未出现胆道损伤、胆漏、腹腔感染等并发症，无残留结石，全组无死亡病例。结论腹腔镜治疗急性结石性胆囊炎对有熟悉胆囊三角及熟练掌握术中处理技巧的外科医师是安全、适合的，适合临床推广。
목적：탐토복강경담낭절제술（LC）치료급성담낭염적가행성급안전성。방법회고성분석84례행복강경담낭절제술적급성담낭염환자적림상자료。결과74례성공행LC수술，10례행중전개복수술，출혈량l0～160mL，평균45mL，수술시간30～120min，평균52min。상규복강인류，평균주원시간7.4d，술중미출현담도손상、담루、복강감염등병발증，무잔류결석，전조무사망병례。결론복강경치료급성결석성담낭염대유숙실담낭삼각급숙련장악술중처리기교적외과의사시안전、괄합적，괄합림상추엄。
Objective To investigate the laparoscopic cholecystectomy (LC) is safe and effective in the treatment of acute cholecystitis. Methods A retrospective analysis of the clinical data of 84 cases of laparoscopic cholecystectomy for acute cholecystitis patients. Results 74 cases of successful LC operation, 10 cases converted to open operation, amount of bleeding l0~160mL, average 45mL, the average operation time 30-120min, 52min. Routine abdominal drainage, the average hospital stay was 7.4 days, bile duct injury, bile leakage, abdominal cavity infection and other complications did not appear in the operation, and no residual stones, no death cases in this group. Conclusion Laparoscopic treatment of acute cholecystitis with gallbladder triangle of familiar and skilled surgeon treatment skills in operation is safe, suitable, suitable for clinical application.