Objective To discuss the operative technique and curative effect of minor-incision cholecystectomy. Methods The clinical data of 672 patients with application of mini-cholecystectomy from June 2001 to June 2009 were analyzed. Perioperative management and operative technique were emphasized. Results Six hundred and fifty-two cases (97.0%) were cured with mini-cholecystectomy and 20 cases (3.0%) with incision lengthened. Operation time was （40.0±10.0） min. One case with hemorrhoea during operation was cured by interventional embolotherapy. Bile duct injury was found in 1 case during operation， and adopted suture with T tube. There were no infection of incisional wound or death in this study. Conclusion On the basis of skillful conventional cholecystectomy, by controlling indication and improving operative technique, it is an economical and safe way to perform minor-incision cholecystectomy.
目的 比较腹腔镜胆囊切除术（LC）与小切口胆囊切除术（MC）在老年患者中的临床效果，以指导临床选择应用。 方法 回顾性分析笔者所在医院2010年7月至2013年7月期间行LC（LC组，n=109）及MC（MC组，n=111）的老年患者的临床资料，比较2组术中和术后相关指标的差异。 结果 LC组和MC组患者的手术时间〔（45.72±6.14）min比（40.67±6.02）min〕、术中出血量〔（10.18±3.31）mL比（11.13±2.93）mL〕、住院时间〔（9±5）d比（10±5）d〕及总并发症发生率〔28.4%（31/109）比31.5%（35/111）〕比较差异均无统计学意义（P＞0.05）；但LC组患者的术后疼痛程度轻、胃肠道功能恢复时间短〔（46.3±10.5）h比（71.4±9.8）h〕、住院费用较高〔（8 010±450）元比（4 800±680）元〕、切口感染发生率较低〔0（0）比15.3%（17/111）〕、肺部感染发生率较高〔17.4%（19/109）比9.9%（11/111）〕，P＜0.05。 结论 LC对老年胆囊结石或胆囊炎患者具有更好的临床效果；但对心肺功能异常者，尤其是不能耐受全麻和气腹的患者选择MC更为合适，所以临床上应视患者具体情况加以选择。