摘要
目的提高对胆囊管结石病人在腹腔镜手术过程中判断与处理的认识。方法回顾性分析6年来56例胆囊管结石病人的临床资料。结果 56例胆囊管结石的病人,除1例胆囊管变异长达4.0 cm,误以为是胆总管损伤而中转开腹,并给与术中胆道造影确认是胆囊管;其余55例均在腹腔镜下完成手术,术后没有发热、腹痛、黄疸。结论胆囊管结石选择LC手术是安全可行的,但术者应警惕胆囊管结石存在的征象。
Objective To improve the recognition and treatment of calculus patients of gallbladder in laparoscopic operation process.Methods A retrospective analysis was made of clinical data of 56 cases of cystic duct stone patients in the past six years.Results Of 56 cases of cystic duct stone patients,1 case had cholecystic duct variation of up to 4 cm,which was mistaken for bile duct injury and converted to laparotomy,and later with the intraoperative cholangiography confirmed cystic duct;the other 55 cases were completed in laparoscopic operation,without postoperative fever,abdominal pain,or jaundice.Conclusion LC operation for calculus of cystic duct is safe and feasible,but surgeons should be alert to signs of cystic duct stone.
出处
《安徽医药》
CAS
2013年第7期1187-1188,共2页
Anhui Medical and Pharmaceutical Journal
关键词
腹腔镜
胆囊切除术
胆囊管
laparoscopic
cholecystectomy
gallbladder tube
