摘要
目的:探讨困难腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)的方法。方法:回顾分析我院2004年10月至2007年1月行困难LC43例患者的临床资料。结果:43例中4例中转开腹,39例在腹腔镜下完成手术,1例发生胆漏,余均无严重并发症发生。结论:困难LC时术中仔细操作,可行腹腔镜胆囊次全切除术;重视引流,适时中转开腹,可降低并发症的发生率。
Objective：To explore the surgery of laparoscopy eholecystectomy in difficulty. Methods：The clinical data of 43 cases from Oct. 2004 to Jan. 2007 were analyzed retrospectively. Results：Four cases were convered to open surgery,39 cases had completed operation in laparoscopy. All cases had no serious complication except for one ease of biliary fistula. Concluslons：The surgery has completed in laparoscopy with operating carefully and laparoscopy subtotal cholecystectomy in difficult LC, pay attention to abdminal drainage and convert to open surgery appropriately that has decreased the rate of complication.
出处
《腹腔镜外科杂志》
2008年第5期430-431,共2页
Journal of Laparoscopic Surgery
关键词
胆囊切除术
腹腔镜
引流
困难
Cholecystectomy, laparoscopic
Drainage
Difficult
