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腹腔镜胆囊切除术治疗急性发作期胆囊炎的临床体会 被引量:25

腹腔镜胆囊切除术治疗急性发作期胆囊炎的临床体会
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摘要 目的探讨腹腔镜胆囊切除术治疗急性发作期胆囊炎的临床疗效。方法回顾性分析从2009年6月~2012年2月收治的76例腹腔镜手术治疗的急性发作期胆囊炎患者的临床资料。结果 70例患者顺利完成腹腔镜胆囊切除术,1例术后胆汁漏,再次腹腔镜手术治疗痊愈。6例中转开腹,其中1例为Mirizzi综合征,1例术中出血,4例为胆囊三角结构严重粘连。结论腹腔镜胆囊切除术治疗急性发作期胆囊炎是安全可行的,熟练掌握手术操作技巧可提高手术成功率。 Objective To explore the clinical experience of laparoscopic cholecystectomy for cholecystitis in the acute attack stage. Methods 76 cases of eholecystitis in the acute attack stage treated by laparoscopic cholecystectomy in this department from Jun 2009 to Feb 2012 were analyzed retrospectively. Results Laparoscopic cholecystectomys were successfully performed in 70 cases, re-exploration by laparoscopy Was performed in 1 cases of biliary fistula, 6 cases were converted to open surgery (1 case of Mirizzi's syndrome, 1 case of bleeding in the surgery, 4 cases of serious adhesions in the Calot triangle). Conclusion LC for cholecystitis in the acute attack stage is safe and effective, skilled procedure may increase the success rate of the surgery.
出处 《当代医学》 2012年第19期77-78,共2页 Contemporary Medicine
关键词 胆囊炎 腹腔镜胆囊切除术 Cholecystitis Laparoscopic cholecystectomy
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