【摘要】 目的 探讨胆囊病变选用腹腔镜下切除胆囊的临床意义及术中、术后相关问题的应对策略。方法 回顾性总结分析我院1993～2003年间共施行腹腔镜胆囊切除(LC)986例临床资料。结果 986例中有并发症者30例(3.04%)，分别为术中出血200～400ml 12例，经电凝及钛夹止血得到控制；误伤切断右肝管1例，经中转开腹行胆肠Roux-Y吻合获愈；术后近期渗胆16例，经充分引流等保守治愈；胆囊管残株结石(直径0.3cm)1例术后经常腹痛，于术后3个月再次开腹手术予以解决。本组镜下胆囊切除率100%，无死亡病例，术后均随访2年以上，情况良好。结论 腹腔镜下切除胆囊不失为治疗胆囊良性病变的首选方法，由于其恰当的手术指征掌握、熟练的操作技巧、扎实的开腹功底、清晰的解剖变异概念、围术期的相关问题预防处理到位，所以LC术是安全可靠的，甚至难度较大的病例亦能完成。处理胆囊管及动脉采用7号丝线结扎值得推崇。

    【关键词】 胆囊良性病变；腹腔镜；微创手术；并发症防治

    Discussion on laparoscopic cholecystectomy

    HU Deng-kui,HU Yu.

    TCM Hospital of Wusheng County, Sichuan 638400,China

    【Abstract】 Objective To discuss related issues on procedure of laparoscopic cholecystectomy.Methods 986 cases underwent laparoscopic cholecystectomy from 1993 to 2003 were retrospectively analyzed.Results Of 986 cases, 30 cases complications occurred,operative Heeding 12 cases, right hepatic duct resected 1 case,bile leakage 16 cases, abdominal pain 1 case, all the cases were cured.Conclusion The laparoscopic cholecystectomy were the first choice to treat benign cholecystopathy. ......