摘要
目的 探讨胆囊大部分切除在复杂腹腔镜胆囊切除术中应用的可行性及安全性。 方法 对 1999～ 2 0 0 1年施行的 2 6例腹腔镜胆囊大部分切除术的方法、手术疗效及并发症进行了回顾分析。手术指征为化脓性胆囊炎、Mirris综合征Ⅰ型、Calot三角“冰冻样”改变、萎缩性胆囊炎、胆囊床与肝脏瘢痕样致密粘连等。 结果 手术时间为 (5 1± 16 5 )分钟 ,开始下床活动时间 (11± 4 3)小时 ,开始进食时间 (2 2± 8 5 )小时 ,住院时间 (4 5± 1 5 )天 ,术后胆漏 2例 ,均经保守治疗治愈。随访 6月～ 2 5月 ,未见与手术有关的并发症。 结论 在困难胆囊手术中 ,腹腔镜胆囊部分切除术可简化手术 ,降低手术风险 ,可收到胆囊造瘘与标准胆囊切除相结合的疗效。
Objective To study the possibility and safty of laparoscopic partial cholecystectomy in difficult cholecystectomy. Methods The operative procedures,efficaey and complications of 26 laparoscopic partial cholecystectomy between 1999 and 2001 were reviewed retrospectively.The operative indications were empyema cholecystitis, Mirris syndromeⅠtype,frozen Calot's triangle,shrunken gallbladder. Results operative time was (51±16 5) minutes;The time to recovey activity was (11±4 3) hours;food-intake began (22±8 5) hours after operation; The hospital stay was (4 5±1 5) days;bile leakage after operation was found in 2 cases and recovered after conservative management.Following-up period lasting 6 to 25 months showed no complecations occurred. Conclusions Laparoscopic subtotal cholecystectomy may simplify the operation and decrease the risk in difficult cholecystectomy,and can get the therapeutic result of cholecystomy combined with standard cholecystectomy.
出处
《中国微创外科杂志》
CSCD
2002年第4期260-261,共2页
Chinese Journal of Minimally Invasive Surgery
