摘要
【目的】总结腹腔镜下胆囊大部分切除在复杂胆囊切除术中应用的经验。【方法】回顾分析本院2002年1月至2005年9月施行的36例腹腔镜胆囊大分部切除术的病例，对手术方法、手术疗效及并发症进行分析。【结果】36例均在腹腔镜下行胆囊大部分切除，无中转开腹、无术后出血及肝外胆管损伤，手术时间为（56±16．5）min，开始下床活动时间（13±4．3）h，开始进食时间（23±8、5）h，住院时间（5±1．5）d，术后胆漏1例饲，经保守治疗治愈。随访7～28个月，未见与手术有关的并发症。【结论】在复杂胆囊手术中，腹腔镜胆囊大部分切除术可简化手术，降低手术风险，可收到胆囊造瘘与标准胆囊切除相结合的疗效。
[Objective]To sum up the experience of laparoscopic subtotal cholecystectomy in difficult cholecystectomy. [Methods]A restrospective review of the data of 36 laparoscopic subtotal cholecystectomies from Jan 2002 to Sep 2005 was made. The operative procedures, efficacy and complications were analysed too. [Results]Laproscopic subtotal cholecystectomies were successful in 36 cases. There was no mortality. There were no open operation, postoperative bleeding and external hepatic biliary ducts injury. Operative time was （56± 16. 5） minutes;The time to recovering activity was （ 13 ± 4. 3） hours ; food intake began in （ 23 ± 8. 5） hours after operation; The hospital stay was （5±1.5） days; bile leakage after operation was found in 1 case and recovered after conservative management. Followed-up for 7 to 28 months , no complications occurred. [Conclusion]Laparoscopic subtotal cholecystectomy may simplify the operation and decrease the risk in difficult cholecystectomy, and can get the therapeutic result of cholecystomy combined with standard cholecystectomy.
出处
《医学临床研究》
CAS
2006年第4期510-511,515,共3页
Journal of Clinical Research
