目的探讨胆囊横断法在微创开腹胆囊手术中应用的可行性及临床价值。
Objective To evaluate the feasibility and clinical value of gallbladder transection in minimally invasive laparotomy cholecystectomy.
腹腔镜手术治疗急性胆囊炎229例，其中胆囊切除术219例，胆囊造控术1例，中转开腹手术9例。
Laparoscopic surgery for acute cholecystitis were performed in 229 cases, including 219 cases of cholecystectomy, 1 case of cholecystostomy and 9 case being converted to open laparotomy.
目的：比较老年胆囊结石患者行腹腔镜胆囊切除术(LC)和开腹胆囊切除术(OC)的手术效果。
Objective: to compare the surgical effectiveness of laparoscopic cholecystectomy (LC) and open cholecystectomy (OC) for elder patients with cholelithiasis.
目的：分析腹腔镜胆囊切除术中转开腹手术的危险因素。
ObjectiveTo investigate the risk factors for conversion from laparoscopic (LC) to open cholecystectomy (OC).
分析比较老年急性胆囊炎用腹腔镜和开腹手术治疗的疗效。
Elderly patients with acute cholecystitis by laparoscopy had shorter operative time 45.
结论：在无禁忌证的前提下，无论是开腹还是腹腔镜手术，应首先考虑经胆囊管途径行胆道镜胆道探查取石术。
Conclusion:In both of open and laparoscopic operation, it should choose transcystic common bile duct exploration with choledochoscope first without contraindications.
结论腹腔镜胆囊切除手术较开腹手术更有利于患者术后恢复，能提高生活质量和医疗效率。
Conclusion LC can improve the quality of life postoperatively better and more rapidly than OC, and can also improve the medical efficiency.
结论腹腔镜胆囊切除手术较开腹手术更有利于患者术后恢复，能提高生活质量和医疗效率。
Conclusion LC can improve the quality of life postoperatively better and more rapidly than OC, and can also improve the medical efficiency.
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