[摘要] 目的 探讨基层医院开展腹腔镜胆囊切除术(LC)的经验和体会。方法 回顾分析2000年6月至2007年10月830例LC的临床资料。结果 中转开腹8例(%)，置腹腔引流管108例(%)，严重并发症6例(%)，其中胆道损伤3例，胆漏2例，术后大出血1例，均经积极处理全部治愈，无死亡病例。结论 基层医院初期开展LC，必须高度重视，严格人员培训，正确掌握手术技巧和手术时机，适时中转开腹，其并发症是完全可以避免的。

    [关键词]胆囊切除术; 腹腔镜; 临床分析

    [中图分类号] R575.6[文献标识码] A[文章编号] 1005-0515(2011)-02-028-01

    Clinic analysis of 830 patients treated by laparoscopic cholecystectomy in basic-level hospital

    LIU Shi-de, YE Jian-guo

    (Shicuan Shuangliu Hospital of Traditional Chinese MEDICINE, Shuangliu 610200, China)

    [Abstract] Objective To probe into the experience of the laparoscopic cholecystectomy(LC) in the basic-level hospitals. Methods The clinical data of 830 cases with laparoscopic cholecystectomy were reviened retrospectively from June 2000 to Oct 2007. Results 830 cases were cured, 8 cases(0.96%) were opend operation, abdominal drainage tuble was put in 108 cases (13%), 6 cases (0.72%) suffered serious complications,bile duct injury in 3 cases, 2 cases with bile leakage, upper gastrointestinal bleeding in 1 cases. ConclusionsIf the basic-level hospitals carry out in the initial stage, they must strengthen the training of operators,they must master correctly operative skill and opportunity of LC,using laparotomy when necessary,the complications may be avoided thoroughly. ......