摘要
目的:探讨不同病理状态下胆囊颈部结石嵌顿性胆囊炎LC的手术时机、处理方法及并发症的防治。方法:对68例的临床资料进行回顾性分析。结果:行LC469例中颈部结石嵌顿性胆囊炎68例,63例LC成功,成功率92.6％,并发症1例。结论:既往将胆囊颈部结石嵌顿列为LC的禁忌证,特别是Calot三角致密粘连者或伴胆囊壁坏疸者。随着LC经验的积累,掌握操作技巧及术中配合胆道造影,现已成为LC的适应证,LC治疗胆囊颈部结石嵌顿性胆囊炎安全,可靠。
Objective: To explore the operation opportuninty, technology and prevention for stone incarceration cholecystitis in different pathologic states by laparoscopy cholecystectomy. Methods: 68 cases clinical data were retrospectively analyzed. Results: 469 cases were performed laparoscopic cholecystectomy (LC),in the 68 case with stone in carceration cholecystitis in neck of gallbladder,63 cases succeeded, the successful rate was 92.6% ,and 1 case had complication. Conclusions: Along with the accumulation of experience, the development of surgerical skill and biliary tract contrast examination in operation; stone incarceration in neck of gallbladder, particularly calot triargle dense adhesion or gallbladder gangrene have become indications for LC. This method is safe and effect.
出处
《腹腔镜外科杂志》
2001年第4期210-211,共2页
Journal of Laparoscopic Surgery
关键词
腹腔镜
胆囊切除术
胆囊炎
胆囊颈部结石嵌顿
Laparoscopy
Cholecystectomy
Cholecystitis
Stone incarceration in neck of gallbladder
