CAJ | 학술논문

目的总结腹腔镜胆囊切除术(LC)治疗急性胆囊炎的经验.方法对280例急性胆囊炎患者行LC治疗.结果 268例成功完成LC;12例中转开腹,其中5例Calot三角粘连致密,2例出血不能控制,3例Mirizzi综合征,2例胆总管损伤分别行胆总管空肠Y型吻合术和T形管引流术.术后未发生腹腔出血、胆漏及膈下脓肿等并发症,术后平均住院时间4.7 d.结论 LC治疗急性胆囊炎是一种切实可行的方法.关键是术者选择好手术时机、把握好中转开腹指征并掌握熟练的腹腔镜操作技术.
목적 총결복강경담낭절제술(LC)치료급성담낭염적경험.방법 대280례급성담낭염환자행LC치료.결과 268례성공완성LC;12례중전개복,기중5례Calot삼각점련치밀,2례출혈불능공제,3례Mirizzi종합정,2례담총관손상분별행담총관공장Y형문합술화T형관인류술.술후미발생복강출혈、담루급격하농종등병발증,술후평균주원시간4.7 d.결론 LC치료급성담낭염시일충절실가행적방법.관건시술자선택호수술시궤、파악호중전개복지정병장악숙련적복강경조작기술.
Objective To summarize clinical experience of laparoscopic cholecystectomy (LC) for acute cholecystitis.Methods Two hundred and eighty patients with acute cholecystitis underwent LC in our hospita1.Results The LC was successfully completed in 268 cases,the other 12 patients were converted to open surgery because of massive adhesion at the Calot triangle (5 cases),severe hemorrhage (2 cases),Mirizzi syndrome (3 cases),Common bile duct injury (2 cases) were exectuted by bile duct repair and T tube drainage' and were Roux-en-Y chole-enterostomy).None of the patients had intra-abdominal hemorrhage,biliary leakage,or subphrenic abscess after the operation.Conclusions LC is safe and feasible in the treatment of acute cholecystitis,and successful surgery should be based on the skilled techniques and the knowledge of key points in the operation.Conversion to open surgery is necessary when LC is difficult.