【摘要】  目的：总结急性胆囊炎（Acute cholecystitis，AC）行腹腔镜胆囊切除术（Laparoscopic cholecystectomy，LC）的治疗体会。方法：对我院2004年10月至2006年10月施行的316例手术进行分析。结果：成功完成LC 287例（90.82%），其中中转开腹29例（9.18%）。手术时间40~135min，平均90min。结论：虽然急性胆囊炎行LC手术变异多，难度大，但只要严格掌握手术适应症、LC手术操作技术，采取LC手术是可行的。

【关键词】  急性胆囊炎； 腹腔镜胆囊切除术

　　Experience on 316 cases of Laparoscopic Cholecystectomy in Acute Cholecystitis

　　　Abstract：Objective: Case summary of the treatment experience of laparoscopic cholecystectomy(LC) used in the treatment of acute cholecystitis. Method: Analysis on reviewing 316 cases of our hospital taken Laparoscopic Cholecystectomy in the treatment of acute cholecystitis during the period between October 2004 and October 2006. Result: Among all the 316 laparoscopic cholecystectomy cases, 287 cases succeeded (90.82%), 29 cases changed to take laparotomy(9.18%). The operation time needs 40～135 minutes and the average operation time is 90 minutes. Conclusion: Although LC operation is relatively difficult and diverse, it is feasible to take LC operation once you strictly control surgery indication and LC operation technology.

　　Key words：  Acute cholecystitis；  Laparoscopic cholecystectomy    

　　腹腔镜胆囊切除术（Laparoscopic cholecystectomy，LC）因其创伤小、痛苦少、术后恢复快而成为治疗胆囊良性疾患的首选方法。我院自2004年10月至2006年10月共施行LC 480例，其中急性……