【摘要】目的：探讨及总结急性胆囊炎行腹腔镜胆囊切除(LC)，的方法和经验。方法：2003年8月至2011年8月间198例急性胆囊炎行LC手术。该198例病人均符合急性胆囊炎诊断标准。总结：分析腹腔镜胆囊切除治疗急性胆囊炎的手术安全性技巧及经验。结果：198例病人均顺利恢复，平均手术时间55分钟，平均住院天数6天，并发症为中转开腹2例(1%)，一过性小胆瘘2例(1%)，主操作孔感染2例(1%)。结论：LC治疗急性胆囊炎相对较复杂，但只要术者熟悉胆道解剖，娴熟的腹腔镜手术技巧合理运用，适时中转开腹，手术安全，预后良好。

    【关键词】急性胆囊炎；腹腔镜胆囊切除

    【中图分类号】R657.41 【文献标识码】 A【文章编号】1044-5511(2011)11-0049-01

    【Abstract 】 Objective: To study and summarize the acute cholecystitis laparoscopic cholecystectomy ( LC ), methods and experience. Methods: in 2003 August to 2011 August, 198 cases of acute cholecystitis LC operation. The 198 cases were consistent with acute cholecystitis diagnosis standard. Summary: analysis of laparoscopic cholecystectomy for acute cholecystitis operation safety skills and experience. Results: 198 cases were recovered, the average operation time of 55 minutes, the average length of stay of 6 days, complications of 2 cases were transferred to laparotomy ( 1%), a small bile fistula in 2 cases ( 1%), the main operating hole infection in 2 cases ( 1%). Conclusion: LC in the treatment of acute cholecystitis is relatively complex, but as long as patients with biliary anatomy, skilled laparoscopic operation technique reasonably, timely conversion to open operation, safety, good prognosis. ......