CAJ | 학술논문

目的总结急性胆囊炎腹腔镜胆囊切除术(Laparoscopic cholecystectomy,LC)的治疗效果,积累经验,减少手术并发症,特别是胆管损伤的原因及预防。方法回顾性分析1250例急性胆囊炎腹腔镜胆囊切除术患者的临床资料,对胆管损伤的原因进行分析,并探讨预防措施。结果1228例手术过程顺利,22例中转开腹,其中1例因胆总管损伤行胆肠Roux-Y吻合术,所有病例均痊愈出院。结论急性胆囊炎行腹腔镜胆囊切除术(LC)是最佳选择,是安全和可行的；手术技巧和术中的抉择是预防胆管损伤的关键。
목적총결급성담낭염복강경담낭절제술(Laparoscopic cholecystectomy,LC)적치료효과,적루경험,감소수술병발증,특별시담관손상적원인급예방。방법회고성분석1250례급성담낭염복강경담낭절제술환자적림상자료,대담관손상적원인진행분석,병탐토예방조시。결과1228례수술과정순리,22례중전개복,기중1례인담총관손상행담장Roux-Y문합술,소유병례균전유출원。결론급성담낭염행복강경담낭절제술(LC)시최가선택,시안전화가행적；수술기교화술중적결택시예방담관손상적관건。
Objective: Laparoscopic cholecystectomy for acute cholecystitis (Laparoscopic cholecystectomy, LC) treatment effect, gain experience, reduce complications, especially bile duct injury causes and prevention.Methods A retrospective analysis of 1250 cases of laparoscopic cholecystectomy for acute cholecystitis in patients with clinical data, the analysis of the causes of bile duct injury and to explore preventive measures.Results 1228 cases of successful surgical procedures, 22 were converted to laparotomy, including 1 case of bile duct injury in the line due to Roux-Y biliary-enteric anastomosis, all patients were cured.Conclusion Acute cholecystitis underwent laparoscopic cholecystectomy (LC) is the best choice, is safe and feasible; surgical techniques and intraoperative bile duct injury choice is the key to prevention.