Objective To explore the clinical effect of laparoscopic operation, the implementation of the patients with acute cholecystitis points. Method During the period from April 2011 to May 2013,clinical data of 198 patients with acute cholecystitis laparoscopic gallbladder operation were retrospectively analyzed. Results All patients in the laparotomy in 3 cases, there was no death case;1 patient had gallbladder bile biliary ifstula, the negative pressure ball drainage and cured after a week;the main operating hole infection occurred in 2 cases of postoperative patients after dressing change, cured after drainage;postoperative hospitalization days 7-40;6 months follow-up. No other complications occurred, auxiliary examination was normal. Conclusion Laparoscopic cholecystectomy for acute cholecystitis patients total resection is effective, safe and feasible.%目的：探讨对急性胆囊炎患者实施腹腔镜胆囊手术的临床效果、注意要点。方法选择2011年4月～2013年5月上海市江湾医院外科实施腹腔镜胆囊手术的急性胆囊炎患者198例，回顾性分析患者的临床资料。结果198例患者中中转开腹3例，无死亡病例；1例患者出现胆囊床迷走胆管胆瘘，经负压球持续引流1周而治愈；2例患者术后出现主操作孔感染，经换药引流后治愈；患者术后住院7～40 d；患者术后保持6个月随访，无其余并发症出现，辅助检查显示正常。结论对急性胆囊炎患者实施腹腔镜胆囊全切除术效果确切，安全可行。
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