[摘要] 目的 探讨如何控制腹腔镜胆囊切除术(LC)开展初期的并发症及中转率。方法 制定八条质量控制措施，总结分析568例LC临床资料。结果 并发症6例，仅占1.2%，中转手术8例，中转率仅1.6%。结论 在开展LC初期只要加强质量控制，完全可以避开高并发症、高中转率这种所谓的自然规律。

    [关键词] 腹腔镜；胆囊切除术；开展初期；质量控制；临床研究

    Clinical research to quality control on early stages of laparoscope cholecystectomy

    YU Guo-ping.Department of General Surgery，the First Hospital，Huangshi 435001，China

    [Abstract] Objective To probe into how to control the initial complications and transfer rates of laparoscope.Methods Draw up eight quality control measures and make an analysis of 568 LC clinical cases.Results 6 cases with complications，consisting of 1.2%，8 cases of transfer operations，transfer rates is 1.6%.Conclusion On early stages of LC，quality control can prevent high complication rates and high transfer rates.

    [Key words] laparoscope；cholecystectomy；early stages；quality control；clinical research

    腹腔镜胆囊切除术(LC)在国内经历了14年的发展，现已完全得到外科医生们和患者的共同认可，并作为胆囊切除的“金标准”迅速向基层医院发展。然而在一些初期开展这项新技术的单位往往因为高并发症和高中转率而受挫。为避开这种所谓的自然规律 ......