关键词: 腹腔镜, 胆囊大部切除术, 胆囊炎, laparoscopy, partial cholecystectomy, cholecystitis

Abstract: Objective To investigate the safety and clinical value of (LPC) without dissecting Calot triangle in decreasing conversion rate of difficult cases. Method The clinical data of 43 cases received laparoscopic subtotal cholecystectomy without Calot triangle were analyzed retrospectively. Results Among them, 8 cases were diagnosed as atrophic cholecystitis, 32 chronic cholecystitis with acute attack, 3 acute cholecystitis. No bile was drainaged in 29 cases, Abdominal drainage were removed within 5 days after operation in 10 cases, 7 days in 3 and 14 days in 1. All cases were cured to discharge from hospital.Follow up for at least 6 months ,no complications were found . Conclusions This procedure is safe and can effectively decrease the rate of open operation in the use of cases of difficult laparoscopic cholecystitis.