ObjectiveTo investigate the indications, and experience of laparoscopic cholecystectomy (LC).
MethodsThe clinical data of 3002 cases of LC,from Jan. 2006 to Dec. 2008, were reviewed.
ResultsThe total rate of convertion to open surgery was 3.63%, biliary tract injury 0.27%, bowel injury 0.07%, and postoperative bleeding of cystic artery 0.07%. In patients with acute cholecystitis or with a past history of upper abdominal operation, the convertion rate was 7.17% and 13.2% respectively, which was significantly higher than the total convertion rate (P<0.01), but no biliary tract injury occurred in any of the cases.
ConclusionsAcute cholecystitis or history of upper abdominal operation should not be as contraindication for LC. High attention to dissection of Calot′s triangle and appropriate timing of conversion to open surgery are the key elements to decrease complications.The prompt discovery and appropriate treatment of intraoperative bowel and bile duct injury and bleeding of cystic artery are important facts for decreasing postoerative complications.