目的 回顾腹腔镜胆囊切除术（Laparoscopic Cholecystectomy，LC）) 在急性期胆囊炎患者的治疗过程并讨论手术操作及注意事项。 方法 回顾昆明医科大学第一附属医院肝胆外科2014年 11 月～ 2016 年11月经治112例急性胆囊炎患者行腹腔镜胆囊切除术, 对急性胆囊炎LC术进行探讨总结。 结果101例成功行LC术（占90.17%），11例中转开腹（占9.82%），中转开腹原因其中4例为胆囊管结石嵌顿，胆囊三角冰冻样粘连解剖不清，4例为胆囊坏疽粘连严重，2例为胆囊动脉出现搏动性出血，1例为肝外胆道受损。结论腹腔镜胆囊切除术对急性胆囊炎患者是可行的, 手术过程中对胆囊三角关系解剖，是手术成功并减少并发症的关键。
Objective Review the complications of Laparoscopic cholecystectomy (LC) in the treatment of patients with acute cholecystitis and to discuss the operation and precautions. Methods Analysis and summary of LC for 112 patients with acute cholecystitis from November 2014 to 2016 in Department of Hepatobiliary Surgery，the First Affiliated Hospital of Kunming Medical University. Results LC was performed in 101 cases successfully（90.17%）. 11 cases were converted to laparotomy (9.82%), Reasons of Conversion to Laparotomyis is include 4cases were stone ncarceration on the neck of the gallbladder and uncleared in dissection of calot triangle. 4 cases were gangrene of gallbladder and severe gallbladder adhesion,2 cases were cystic artery bleeding. 1 cases was extrahepatic bile duct injury. ConclusionLC is practical for acute cholecystitis patients , the key to improving the success rate and reduce the complication in LC is separate out Triangle of gallbladder.
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