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目的探讨急性胆囊炎胆囊结石采用腹腔镜手术治疗的安全性和效果。方法回顾性分析2005年3月至2013年3月111例经腹腔镜手术治疗急性胆囊炎胆囊结石患者的临床资料。结果 111例患者中107例成功完成腹腔镜胆囊切除术,4例中转开腹,其中1例胆囊三角形成致密粘连,1例Mirizzi综合征,2例术中出血。结论腹腔镜胆囊切除术治疗急性胆囊炎胆囊结石是安全可行的,但要有一定腹腔镜手术经验,掌握好中转开腹的时机。
Objective To investigate the safety and efficacy of laparoscopic surgery for cholecystolithiasis in acute cholecystitis. Methods The clinical data of 111 cases of acute cholecystitis gallbladder with laparoscopic operation from March 2005 to March 2013 were retrospectively analyzed. Results Of the 111 patients, 107 had laparoscopic cholecystectomy successfully and 4 had laparoscopic cholecystectomy. Among them, 1 developed gallbladder triangle dense adhesion, 1 had Mirizzi syndrome and 2 had intraoperative bleeding. Conclusion Laparoscopic cholecystectomy in the treatment of acute cholecystitis gallbladder stones is safe and feasible, but have some experience in laparoscopic surgery, mastered the timing of laparotomy.