急性胆囊炎腹腔镜手术的体会

Abstract

Abstract: 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.

Key words: Laparoscopic, Cholecystectomy, Acute cholecystitis

References

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Experience of Laparoscopic Cholecystectomy for acute cholecystitis

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