摘要
目的探讨腹腔镜胆囊大部分切除术在复杂腹腔镜胆囊切除术中适应证及临床应用价值。方法回顾性分析阳泉市第一人民医院2008年3月至2011年9月42例急性胆囊炎患者行腹腔镜胆囊大部切除术的临床资料。结果42例手术均获成功，平均手术时间为50-140min，平均80min。术后胆漏1例，切口感染2例。术后随访2个月-3年，均无结石残留，无远期并发症。结论在复杂胆囊手术中，腹腔镜胆囊部分切除术可简化手术，降低手术风险，可得到与胆囊造瘘和标准胆囊切除相同的疗效。
Objective To evaluate the clinical value and indications of laparoscopic subtotal eholecysteetomy in the complex laparoscopic eholecystectomy. Methods The clinical data of 42 acute cholecystitis patients with laparoscopic subtotal cholecystectomy in our hospital from Mar 2008 to Sep 2011 were analyzed. Results Forty-two cases of operation were successful. The average operation time was 80 （50 -140） rain. There was postoperative bile leakage in 1 case and incision infection in 2 cases. There were no residual gallstones, no long-term complications by follow-up of two months to three years. Conclusions In the complex gallbladder operations, laparoscopic subtotal choleeysteetomy can simplify the operation and reduce surgical risk. The same effect can be achieved with gallbladder colostomy and standard choleeysteetomy,
出处
《中国实用医刊》
2012年第16期19-20,共2页
Chinese Journal of Practical Medicine
关键词
胆囊炎
腹腔镜胆囊大部切除术
复杂胆囊手术
Cholecystitis
Laparoscopic subtotal cholecystectomy
Complex gallbladder surgery
