摘要
目的探讨腹腔镜胆囊切除术中某些特殊情况的处理方法。方法回顾分析总结我院从1997年至今,共施行3187例LC术,其中33例行腹腔镜胆囊大部切除术的原因、方法、经验和体会。结果33例均顺利完成,无术后出血、胆漏及肝外胆管损伤,平均手术时间53min(31min～73min),术后恢复顺利,无严重并发症。平均住院时间5.41天(3天～11天),随访3月～2年,均无症状复发,效果满意。结论在化脓性、亚急性、萎缩性胆囊炎等胆囊三角致密粘连不能常规施行胆囊切除的病例,行腹腔镜胆囊大部切除术简便而且安全可行,不但能够达到胆囊切除的目的,又能减少肝外胆管、血管或其它粘连脏器的损伤,避免了中转开腹。但必须严格掌握适应症,正确处理胆囊残余部分。
Objective To explore handing measures of some special conditions in ｜aparoscopic choleeystectormy.Methods 3187 cases who underwent laparoscopic cholesystectormy from 1997 to now were collected and analyzed retrospectively.Thirty-three of them were performed patial eholecystectormy.Results Operation （33cases） went on smoothly,there were no cases of mortality.There were no postoperative hleeding,bileleak and external hepatic biliary ductsinjury.The meanoperative time was 53 min （31min-73min）.All thirty--three patients recoverd quickly and completely after operation.The average time of hospitalization after operation was 5.41 days （3-11 days）.Follow-up lasted three months to tow years.Their clinical manifestations had no recurrence. All 33 cases got satisfied effect.Conclusion It is a simple safe and feasible method.It can decrease the rate of external hepatic biliary dustsinjury and avoid converting to open laparotormy.We must strictly master the indication and manage residue of cystic duct correctly.
出处
《医学信息》
2009年第7期1283-1285,共3页
Journal of Medical Information
关键词
腹腔镜
胆囊大部切除术
胆囊切除术
胆囊炎
lapararoscope
patial cholecystectormy
cholecystectormy
eholecystitis
