摘要
目的:探讨应用常规3孔腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)器械行2孔LC的可行性与临床应用价值。方法:回顾我院应用3孔LC器械行2孔LC的72例临床资料,分析其中转开腹率、手术时间、术中出血量、术后住院时间、手术并发症等。结果:68例成功,3例改3孔技术完成,1例经中转开腹完成。手术时间(30.2±12.1)min,术中出血量(25.7±4.2)ml,术后住院时间(3.7±1.6)d,均未发现手术并发症。结论:应用3孔LC器械行2孔LC是安全可行的,几乎无切口瘢痕的美容效果,尤其适合年轻女性患者。
Objective:To explore the feasibility and clinical value of two-port laparoscopie cholecystectomy (LC) using the instruments of traditional three-port LC. Methods:To review 72 cases of two-port LC using the instruments of three-port LC ,and to analyze the rate of conversion to laparotomy ,operative time, estimated blood loss,postoperative hospital stay,surgical complications. Results :68 cases were completed successfully,3 cases were completed by converted to three-port LC,and 1 case was completed by converted to laparotomy. The operation time for these patients was (30.2+12.1)min,estimated blood loss was (25.7 ±4.2)ml, postoperative hospital stay was (3.7±1.6)d, and no surgical complications were seen. Conclusion:Two-port LC is safe and feasible by using equipments of threeport LC with nearly scarless wounds and much better cosmetic effect,especially for young female patients.
出处
《现代医药卫生》
2009年第11期1618-1618,共1页
Journal of Modern Medicine & Health
关键词
腹腔镜胆囊切除术
分析
Laparoscopic cholecystectomy
Analysis