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目的探讨腹腔镜治疗急性期结石性胆囊炎的可行性手术治疗方法。方法回顾分析腹腔镜治疗结石性胆囊炎急性炎症期586例的临床资料,术中以电凝钩结合吸引器分离。结果586例患者成功施行腹腔镜治疗,均放置胶管引流,术后引流量均在100ml以内,引流管放置时间1～3d,患者均痊愈出院,无严重并发症出现。结论结石性胆囊急性炎症期行腹腔镜胆囊切除术是安全可行的,最佳手术时机应在发病3d以内。
Objective To investigate the feasibility of laparoscopic treatment of calculous cholecystitis in acute surgical treatment. Methods A retrospective analysis of laparoscopic treatment of calculi cholecystitis in the acute inflammation of 586 cases of clinical data, surgery with electrosurgical hook with suction device separation. Results A total of 586 patients underwent laparoscopic surgery. All patients underwent drainage tube drainage. The drainage volume was within 100ml and the drainage tube was placed for 1-3 days. All patients were cured and discharged without serious complications. Conclusions Laparoscopic cholecystectomy is safe and feasible in the acute stage of gallstone gallbladder inflammation. The optimal operation time should be within 3 days after onset.