摘要
目的 研究腹腔镜下胆囊动脉变异及其处理。方法５２１例择期腹腔镜胆囊切除患者，男 １５９例，女 ３６２例，年龄 １１～７６岁。在全麻和 ＣＯ２气腹状态下，解剖胆囊动脉。结果 变异胆囊动脉１４０例，占２６．８７％，其中胆囊动脉来自胆总管前后方并紧贴胆囊前后方上行６０例，单支胆囊动脉３例，双胆囊动脉５１例，胆囊动脉来自内脏动脉６例，体部胆囊动脉１７例，来自右肝动脉变异的胆囊动脉３例。结论 胆囊动脉变异率高，术中准确辩认、解剖和妥善处理对预防术中大出血和胆管损伤有重要意义。
Objective To study variant artery and treatment under video laparoscopic cholecystectomy(LC). Methods 521 patients who received selective cholecystectomy(male 159 patients and female 362 patients, aged 11 to 76 years),were operated on with video laparoscopy. Cystic artery was anatomized under general anesthesia and carbon dioxide pneumoperitoneum. Results Variant Cystic artery presented in 140 patients(26 .9% ). Cystic artery of 60 patients originated from anterior or posterior common bile duct, single cystic artery was in 3 patients, double cys- tic artery in 51 patients, cystic artery arose from celiac artery was in 6 patients, cystic body artery existed in 17 pa- tients and cystic artery originated from variant right hepatic artery in 3 patients. Conclusion Variant cystic artery is very common. Correct recognition, dissection and safe treatment are an important to prevent hemorrhage and bile duct injuries during laparoscopic cholcystectomy.
出处
《中国微创外科杂志》
CSCD
2001年第2期71-72,F004,共3页
Chinese Journal of Minimally Invasive Surgery
