腹腔镜下危险胆囊切除107例的评估和对策

摘要

目的:探讨腹腔镜胆囊切除术(LC)对危险胆囊切除的危险因素及对策.方法:回顾性分析我院2005 年9 月至2011 年9 月对107 例腹腔镜下危险胆囊切除患者的临床资料.结果:107 例患者除6 例中转开腹,其余均在腹腔镜下完成,疗效满意.结论:只要术前、术中认真识别、仔细评估,合理决断,对于危险胆囊,应用LC 术治疗是安全可行的.%Objective: To investigate the risk factor and strategy of laparoscopic cholecystectomy about dangerous cholecyst. Method: Retrospectively analyzed the data of 107 patients with laparoscopic cholecystectomy about dangerous cholecyst in our hospital from Sep. 2005 to Sep. 2011. Result: 101 patients had operated laparoscopic cholecystectomy successfully and 6 patients had to turn for minilaparotomy - cholecystectomy. Conclusion: If we evaluate carefully and decide reasonably, laparoscopic cholecystectomy is safe and feasible about dangerous cholecyst.