关键词: 复杂性胆囊, 腹腔镜胆囊切除术, 手术经验

Abstract:

Objective To summarize the surgical experience and techniques in laparoscopic cholecystectomy. Method A retrospective analysis was conducted on the clinical data of 180 patients who underwent laparoscopic cholecystectomy at the Xinjiang Armed Police Corps Hospital from January 2023 to January 2024. Thin layer dissection and suction scraping techniques were used, summarize the patient's surgical related indicators and incidence of complications. Result The average surgical operation time for 180 patients was 40min(35 ～ 110min), the average intraoperative blood loss was 35 ml(5 ～ 50ml), and the average hospitalization time was 7d(5 ～ 8d). All patients successfully underwent laparoscopic cholecystectomy, with 4 cases converted to open surgery. Five cases experienced complications such as bile leakage, bleeding, bile duct stenosis, residual stones, and severe bile duct injury, with a complication rate of 2.78%. Conclusion Due to its complex anatomical structure, laparoscopic cholecystectomy conversion to open surgery is not a failure of laparoscopic surgery. The appropriate surgical approach should be selected based on the patient's basic condition to ensure patient safety and reduce postoperative complications.

Key words: Complex gallbladder, Laparoscopic cholecystectomy, Surgical experience