摘要
目的:探讨腹腔镜胆囊切除术胆囊壶腹及胆囊后三角解剖法的应用价值。方法:回顾分析2005-05~2009-02使用胆囊壶腹及胆囊后三角解剖法施行腹腔镜胆囊切除术800例患者的临床资料。结果:10例为胆囊周围严重粘连,近期急性发作,Calot三角严重充血水肿,解剖不清,中转开腹。1例有上腹部手术史,气体膨胀困难,遂中转开腹。800例中1例胆道损伤及其他并发症发生。术后平均住院3.6d。结论:胆囊壶腹及胆囊后三角解剖法有助于术中容易辨清"三管一壶腹部"的解剖关系、辨认肝外胆管的解剖结构及变异,能有效减少胆道损伤。
Objective: To evaluate the laparoscopic cholecystectomy and gallbladder after gallbladder ampulla triangle dissection of the application.Methods: Retrospective analysis from May 2005 to February 2009 using the gallbladder and gallbladder ampulla triangle dissection after laparoscopic cholecystectomy in 800 patients with clinical data.Results: 10 cases of severe adhesion around the gallbladder,recent acute,Calot triangle severe congestion and edema,anatomy is unclear,transit laparotomy.1 case had history of upper abdominal surgery,gas expansion difficulties,gradually transfer laparotomy.None of the 800 cases of bile duct injury and other complications occurred.Mean postoperative hospital stay 3.6d.Conclusion: The gallbladder and gallbladder ampulla triangle dissection after the surgery that can easily help to discern,'three one ampulla' of the anatomical relationship,identify the anatomy of extrahepatic bile duct structure and variation,can be effective in reducing the bile duct injury.
出处
《航空航天医学杂志》
2009年第10期16-17,共2页
Journal of Aerospace medicine
关键词
胆囊切除术
腹腔镜
解剖
胆道损伤
Cholecystectomy
Laparoscopic
Anatomy
Bile duct injury
