[摘要] 目的：总结腹腔镜胆囊切除术的经验。方法：回顾分析我院2004年3月～2007年12月588例腹腔镜胆囊切除手术的临床资料。结果：全组共完成腹腔镜胆囊切除术578例，中转开腹10例，中转率为1.7%，胆管损伤1例，全部病人顺利康复，无手术死亡及其他并发症发生。结论：基层医院开展腹腔镜胆囊切除术应高度重视人员培训，选择适当病例，重视术前、术中、术后每一环节的处理，适时中转开腹，以减少并发症的发生。

    [关键词] 胆囊切除；腹腔镜；并发症

    [中图分类号]R61 [文献标识码]C [文章编号]1673-7210(2008)06(a)-168-02

    The experience of 538 cases of laparoscopic cholecystectomies

    LUO Yun-fu,HE Zhao-ping,SHEN Yun-hui, WANG Guo-hua

    (The Second Department of Surgery, Yongsheng County People's Hospital, Yongsheng 674200，China)

    [Abstract] Objective: To summarize the experience of laparoscopic cholecystectomy(LC). Methods: The data of 588 cases of laparoscopic cholecystectomies performed from March 2004 to December2007 were retrospectively analyzed. Results: 578 patients underwent LC successfully, 10 patients were converted to open procedure and the conversion rate was 1.7%. The complication just included 1 case of bile duct injury. All patients were smoothly recovery. Conclusion: In primary hospital, it's the linchpin that practice the doctor strictly and choose the suitable patient to perform laparoscopic cholecystectomy. Convert to open procedure could be avoid severe complication. ......