【摘要】 目的 分析评价胆囊炎急性发作期在腹腔镜下行胆囊切除及胆囊动脉不施钛夹电凝切断的可行性及安全性。方法 对我院102例急性胆囊炎患者行腹腔镜胆囊切除、胆囊动脉电凝切断，术后观察患者恢复情况及出现胆漏、腹腔出血的发生率。 结果 除1例出现胆漏而再次手术外，其余手术均获成功，未出现腹腔出血的情况。 结论 腹腔镜下对急性胆囊炎患者施行胆囊切除，胆囊动脉不施钛夹而行电凝切断是一种切实可行的手术方法，可减少异物在体内残留，且安全性较高。

    【关键词】 急性胆囊炎;腹腔镜术;胆漏

    Experience of laparoscopic treatment for acute cholecystitis with cholelithiasis (102 cases)

    AN Hua-xuan,YAN De-qing,LI Quan-hui,et al.Department of First Surgery,Qinghai Provincial Corps Hospital,Chinese People’s Armed Police Forces,Qinghai 810001,China

    【Abstract】 Objective To analysis the safety and feasibility with laparoscopic treatment of acute cholecystitis to cut down the cholecyst and cholecyst artery without titanic clip. Methods A total of 102 patients with acute cholecystitis who received laparoscopic treatment were retrospectively analyzed, such as postoperative recovery, biliary fistula and bleeding.Results The result was successful in all cases, except one case was resurgeried for biliary leak. Conclusion Laparoscopic treatment without titanic clip to cut down the cholecyst artery is safe and effective for acute cholecystitis. ......