Analysis of the skill and methods of laparoscopic operation in the treatment of acute cholecystitis
Objective:To discuss the skill and methods of laparoscopic cholecystectomy in the treatment of acute cholecystitis.Methods:The clinical data of 3 700 patients who underwent laparoscopic cholecystectomy between Feb.2000 and Nov.2012 were retrospectively analyzed,including 485 patients who suffered from acute cholecystitis.Results:Laparoscopic cholecystectomy for acute cholecystitis was performed successfully in 461 cases,23 cases were converted to open surgery,1 case received T-tube drainage due to bile duct injury.The remainder were placed abdominal drainage tube.No serious complications such as hemorrhage,bile leakage occurred postoperatively.Abdominal drainage tubes were removed 2-4 d after operation,and all patients were discharged from hospital.Conclusions:Along with the maturity of laparoscopic technology and the perfection of equipment and appliances,bile duct injury and other complications can be effectively prevented,laparoscopic cholecystectomy in the treatment of acute calculous cholecystitis is safe and reliable based on sufficient exposure of the Calot triangle,distinction the relationship of the three tubes,grasping the indications for converting to open surgery,paying attention to skills and methods in operation.