CAJ | 학술논문

目的：随着腹腔镜手术技术的不断提高，急性胆囊炎已成为腹腔镜手术的适应证。文中将探讨急性胆囊炎患者行腹腔镜胆囊切除术（ laparoscopic cholecystectomy ， LC）的处理措施并总结经验。方法回顾性分析2002年1月至2013年8月解放军第八一医院普通外科收治的387例行LC的急性胆囊炎患者的临床资料。结果387例中结石嵌顿359例，152例患者炎症发作超过72 h，中转开腹10例。手术时间30～200 min，平均（63．09±26．62）min；术中出血10～500 mL，平均（51．41±32．41）mL，放置腹腔引流管183例。随访3～24个月无并发症发生，手术治愈率100％。结论合理把握急性胆囊炎LC的原则及技巧可提高手术安全性，减少手术带来不良反应的发生。
목적：수착복강경수술기술적불단제고，급성담낭염이성위복강경수술적괄응증。문중장탐토급성담낭염환자행복강경담낭절제술（ laparoscopic cholecystectomy ， LC）적처리조시병총결경험。방법회고성분석2002년1월지2013년8월해방군제팔일의원보통외과수치적387례행LC적급성담낭염환자적림상자료。결과387례중결석감돈359례，152례환자염증발작초과72 h，중전개복10례。수술시간30～200 min，평균（63．09±26．62）min；술중출혈10～500 mL，평균（51．41±32．41）mL，방치복강인류관183례。수방3～24개월무병발증발생，수술치유솔100％。결론합리파악급성담낭염LC적원칙급기교가제고수술안전성，감소수술대래불량반응적발생。
Objective To evaluate the treatment of acute cholecystitis patients through laparoscopic cholecystectomy (LC). Methods 387 cases of acute cholecystitis patients who underwent LC were studied retrospectively . Results Of the 387 cases, there were 359 cases of calculus incarcerated cholecystitis , 152 cases of cholecystitis with acute inflammatory symptoms for 72 h or more, 10 cases were converted to Laparotomy (2.6%).The operations lasted for 30~200 min(63.09 ±26.62 min on average),with blood loss about 10~500 mL(51.41 ±32.41 mL on average),and drainage was adopted in 183 cases.No complications developed fol-lowing the surgeries in 3 to 24 months, indicating a 100% cure rate. Conclusion If with good command of rules and techniques during LC operations , It is both safe and feasible to treat acute cholecystitis patients through LC operations .