摘要
Abstract
Objective; To investigate the choice of operative opportunity and prevention of intraoperative complications in lapa-roscopic cholecystectomy (LC) for acute calculous cholecystitis. Methods: The clinical data of 127 patients who suffered from acute -calculous cholecystitis and underwent LC were retrospectively analyzed. Results:LC was successfully performed in 125 cases,2 cases were converted to laparotomy. Secondary calculus of bile duct occurred in 3 patients,who underwent endoscopic sphincterotomy 3-5 days after LC. Bile leakage was found in 1 patient,who was performed laparotomy 24 h after LC. No other complications were found. Conclusions:Once the diagnosis of acute calculous cholecystitis is definite, LC should be performed as soon as possible whatever the course of disease is,the operative procedure should be applied in 3 days. Conversion to laparotomy is necessary when LC is difficult. Surgeon strictly following LC operative principle and intraoperative careful anatomy are very important for decreasing and avoiding the LC complications.关键词
胆囊炎,急性/胆囊结石病/胆囊切除术,腹腔镜Key words
Cholecystitis, acute/ Cholecystolithiasis/ Cholecystectomy, laparoscopic分类
医药卫生
