Author(s): Mao Jingxi, Chen Xunrk, Yu Shaoming
Pages: 89-91
Year: 1997 Issue:  2
Journal: Chinese Journal of Bases and Clinics in General Surgery
Keyword:  Laparoscopic cholecystectomy Actue cholecystitis Gallbladder stone;
Abstract: Four hundred and twenty six laparoscopic cholecystectomy (LC)were pe formed on pa-tients with acute and subacute cholecystitis,including emergency LC(59 patients), selected LC (215patients fo1lowing administration of antibiotic and antispasmotic drugs for lO- l5 days),and @selectedLC (152 patients with mild biliary co1ic without any medication). Operative findings were congestionand edema of the gallbladder(208 cases, 11 of them were achieved by laparocystectomy),impaction ofstones in the cystic infundibulum or duct with hydrops of gallbladder (142 cases, 14 of them wereachieved by laparocystectomy),and gangrene or empyema of gallbladder(76 patients, 20 of them wereachieved by laparocystectomy). LC was done successfully on 377 cases,conversion to open surgery was45 cases (10. 6 % ),severe complication occured on 4 patients for LC (reopertion, 0. 9% ). The authors be-lieve that LC for patients with acute and subacute cholecystitis is safe and suitable,but LC cannot re-place the classical laparocystectomy,