摘要
目的 :探讨腹腔镜胆囊切除术术中某些特殊情况的处理办法。方法 :分析总结该院的 7例胆囊大部切除术的原因、方法、经验和体会。结果 :7例手术顺利 ,无术后出血、胆瘘及肝外胆管损伤 ,平均手术时间 4 6min(30～ 6 5min) ,术后恢复顺利 ,无严重并发症 ,仅 1例并发穿刺孔感染 ,术后平均住院时间 3.5d(2～ 5 )d ,随访时间 3～ 12个月 ,无症状复发 ,效果满意。结论 :在化脓性胆囊炎或胆囊三角严重粘连疤痕化等不能够常规行胆囊切除的病人 ,行腹腔镜胆囊大部分切除术简便而安全可行 ,不但能够达到胆囊切除的目的 ,又能减少肝外胆管和血管损伤 ,避免了中转开腹 ;但必须严格掌握适应证 ,正确处理胆囊残余部分。
Objective:To explore handling measures of some special conditions in laparoscopic cholecystectomy. Methods:Two hundred and forty-one cases who underwent laparoscopic cholecystectomy from January 2000 to March 2002 were collected and analyzed retrospectively.Seven of them were performed partial cholecystectomy. Results:Operation went on smoothly. There were no cases of mortality. There were no postoperative bleeding, bile leak and external hepatic biliary ducts injury. The mean operative time was 46 min (30～65min). All seven patients recovered quickly and completely after operation. There were no severe complications with only one case complicated wound infection.The average time of hospitalization after operation was 3.5d (2～5d).Follow-up lasted three to twelve months. Their clinical manifestations had no recurrence. All seven cases got satisfied effect.Conclusion:It is a simple safe and feasible method. It can decrease the rate of external hepatic biliary ducts injury and avoid converting to open laparotomy. We must strictly master the indication and manage residue of cystic duct correctly.
出处
《中国内镜杂志》
CSCD
2002年第9期28-29,32,共3页
China Journal of Endoscopy
关键词
腹腔镜
胆囊大部切除术
胆囊切除术
胆囊炎
Lapararoscope
Partial Cholecystectomy
Cholecystectomy
Cholecystitis
