Laparoscopic cholecystectomy for acute cholecystitis: A clinical analysis of 79 cases
- VernacularTitle:急性胆囊炎腹腔镜胆囊切除术79例临床分析
- Author:
Jianyao CHEN
;
Xiujun CAI
- Publication Type:Journal Article
- Keywords:
Acute cholecystitis;
Laparoscopic cholecystectomy;
Intraoperative cholangiography
- From:Chinese Journal of Minimally Invasive Surgery
2001;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the clinical experience of laparoscopic cholecystectomy (LC) for acute cholecystitis. Methods Clinical records of 79 cases of acute cholecystitis treated by LC from September 2002 to August 2003 were respectively reviewed. Results Intraoperative cholangiography (IOC) was successfully conducted in 75 cases, 6 of which were found common bile duct stones. Of the 6 cases, 4 underwent LC combined with intraoperative endoscopic sphincterotomy and 2 underwent a conversion to open choledochotomy with T-tube drainage. The rest of 73 cases were diagnosed as simple gallbladder stones: LC was successfully accomplished in 70 cases and a conversion to open surgery was required in 3 cases because of serious inflammatory adhesion. In the study no severe complications occurred. Conclusions LC can be performed safely in the majority of cases of acute cholecystitis.
