目的    分析悬吊式免气腹腹腔镜胆囊切除术（gasless laparoscopic cholecystectomy，GLC）的临床应用价值。方法    对2009年7月至2010年3月包头市中心医院普通外科60例腹腔镜胆囊切除术的临床资料进行分析。将60例慢性胆囊炎、胆囊结石或胆囊息肉病人随机分为GLC组及传统气腹式腹腔镜胆囊切除术（convention laparoscopic cholecystectomy，CLC）组，每组30例，记录术中、术后情况，对比分析并发症的发生率、住院时间及相关费用。 结果    GLC对术中、术后呼吸循环和术后恢复的影响较小，具有术后胃肠功能恢复快，术后下床活动早，术后恶心呕吐发生率低，颈肩痛轻，住院费用低的优点。 结论    选择GLC避免了对呼吸、循环系统的影响，从而避免了二氧化碳（CO2）气腹对人体的不良影响，增加了手术安全性。

Clinical comparison of gasless laparoscopy using abdominal wall lifting and conventional laparoscopic for cholecystectomy        WU Jin-zhu*，HU Jiang，LIANG Lu，et al. *Department of General Surgery, Third Affiliated Hospital, Nantong University, Nantong226010, China
Corresponding author：HU Jiang，E-mail 935737678@qq.com
Abstract    Objective    To analyze the clinical value of gasless laparoscopic cholecystectomy (GLC). Methods    The clinical data of 60 patients suffered from cholecystolithiasis, gall bladder polypi or chronic cholecystitis between July 2009 and March 2010 in Baotou center hospital were analyzed. All the patients were divided into GLC group (30 patients) and convention laparoscopic cholecystectomy (CLC) group (30 patients) in randomly. Patients’ intraoperative data, postoperative recovery, postoperative complications, hospitalized time and related costs were recorded. Results Compared with CLC, the effects were very significant in GLC, which included less adverse effects of intraoperative and postoperative respiratory cycle, faster postoperative recovery time, getting out of bed earlier, lower incidence of postoperative nausea and vomiting (PONV), neck and shoulder pain, lower hospitalization costs. Conclusion    GLC can avoid affecting to the respiratory and circulatory function, thus it can avoid the harmful effects of CO2 pneumoperitoneum on the human body and increase operative safety.