摘要
目的研究吸引器与电凝钩在腹腔镜胆囊切除术(LC)胆囊三角区分离中的临床应用价值。方法将前后两个阶段的病例分为A组和B组,进行LC胆囊三角区的解剖分离:A组使用电凝钩,而B组则主要采用吸引器,对比分析两组手术时间、术中出血量及并发症发生率。结果平均手术时间分别为A组(28.5±7.6)min,B组(21.1±4.3)min。平均出血量分别为(13.9±4.7)ml(、8.8±2.5)ml。A组出现胆道损伤2例,B组术中、术后没有出现任何并发症。所有患者均痊愈出院。结论吸引器与电凝钩都有各自的优点,在LC术中适于联合使用来分离胆囊管及胆囊动脉。
Objective To study the clinical application value of aspirator and electrocautery in dissecting Calot＇s triangle in laparoscopic cholecystectomy（LC）. Methods All patients underwent LC were divided into group A and group B according the detaching way in the operation. The Calot＇s triangle were detached by electrocautery as group A and by aspirator as group B. Operative time, hemorrhage and complication between two groups were compared. Results The mean operative time was （28.5 ± 7.6） minutes in group A and （21.1 ± 4.3） minutes in group B. The mean hemorrhage was （13.9 ± 4.7） rnl in group A and （8.8 ±2.5） ml in group B. The complication of bile duct injury occurred in 2 cases in group A. No complication was found during or after surgery in group B. All patients were cured. Conclusion Aspirator and electrocautery are both suitable for skeletonizing the cystic duet and cystic artery in LC.
出处
《中国医师进修杂志（外科版）》
2006年第3期24-25,28,共3页
Chinese Journal of Postgraduates of Medicine
关键词
腹腔镜胆囊切除术
吸引器
电凝钩
胆囊三角区
Laparoscopic cholecystectomy
Aspirator
Electrocautery
Calot＇s triangle
