Abstract:Objective:To summarize the clinical experience of laparoscopic cholecystectomy(LC) for acute cholecystitis.Methods:Clinical records of 58 cases of acute cholecystitis treated by LC from March 1998 to May 2004 were respectively reviewed.Results:Intraoperative cholangiography was conducted in 6 cases,5 of which were found to have common bile duct stones.Of the 5 cases,2 underwent LC combined with choledoscopic choledochotomy, stone removal and T-tube drainage; the other 3 cases had ill-defined relationship of Calot′s triangle and underwent conversion to open choledochotomy with stone removal and T-tube drainage.In 52 cases were diagnosed as simple gallbladder stones, LC was successfully accomplished in 50 cases and conversion to open surgery was required in 2 cases because of serious inflammatory adhesions.In this study 1 case had jaundice after operation and 3 cases had leakage of bile,and all recovered on conservative treatment. Conclusions:LC can be performed safely in the majority of cases of acute cholecystitis.