摘要
目的总结腹腔镜下急性结石性胆囊炎处理的经验。方法回顾分析1997～2002年,64例急性结石性胆囊炎腹腔镜切除术。结果腹腔镜下胆囊切除60例,其中顺行切除术44例,逆行切除16例,中转开腹4例,其中胆总管损伤中转修补3例,1例中转开腹行胆总管探查T管引流。64例均治愈,5例出现胆漏,经置管保守治疗后痊愈。结论耐心细致解剖,认准胆囊管、肝总管、胆总管三管关系,是急性结石性胆囊炎,腹腔镜手术治疗的关键,急性结石性胆囊炎均应常规放置肝下引流管。
Objective To summarize the clinic experience of acute calculi cholecystitis with lapatoscopic. methods Review the situation of acute calculi cholecystitis cholecystectomy 64 cases with lapatoscopic. Result There were cholecystectomy with lapatoscopic in 60 cases （order resection 44cases, converse resection 16cases）, translate exploratory laparotomy in 4cases（common bile duct damnify repair in 3cases,common bile duct exploration＋T tube drainage in a cases）.Bile leakage in 5cases, and all there cases were healing, conclusion The therapeutic key is that take pains to anatomising and clear the triangle between cystic duct,cystic artery and common bile duct with lapatoscopic in acute calculi cholecystitis case, and need to retaining tube below liver for drainage.
出处
《国际医药卫生导报》
2006年第12期61-62,共2页
International Medicine and Health Guidance News
