摘要
目的探讨腹腔镜胆囊大部分切除术的手术方法、术中转开腹指征和临床应用价值。方法回顾性分析1996—2008年在我院施行的38例腹腔镜胆囊大部分切除术的临床资料。结果34例成功完成手术,4例患者中转开腹,无术后出血及肝外胆管损伤等严重并发症,手术时间50～150 min,平均为(90±20)min;开始进食时间18～24 h,平均为(20±2)h;引流管留置时间为27～120 h,平均为(48±10)h;住院时间5～10 d,平均(6±2)d;5例患者术后出现胆漏,均经非手术治疗后痊愈。随访6～12月,未出现与手术有关的远期并发症。结论(1)根据不同胆囊管情况,采用相应的正确处理胆囊管方法。(2)了解术中中转开腹手术的指征,是保证手术安全的关键。(3)腹腔镜胆囊大部切除术对于炎症重,分离困难患者有一定的临床应用价值。
Objective To investigate the operative techiques,indications of convertion to open operation and clinical value in laparoscopic partial cholecystectomy.Methods Data of 38 patients who underwent laparoscopic partial cholecystectomy from 1996 to 2008 were reviewed.Results Laparoscopic partial cholecystectomy was sucessfully performed in 34 cases,and the other 4 patients were converted to open operation.The median operation time was（90±20） minutes.The time to resume postoperative diet was（20±2） hours.The duration of postoperative hospital stay was（6±2） days.Bile leakage after operation was found in 5 cases and recovered after conservative management.No complications occurred during a follow-up period of 6 to 12 months.Conclusion Treatment varies with gallbadder condition.laparoscopic partial cholecystectomy is feasible for patients with complicated cholecystitis.The indiction of convertion to open operation is very important for operation safety.
出处
《临床军医杂志》
CAS
2010年第2期211-212,共2页
Clinical Journal of Medical Officers
关键词
腹腔镜
胆囊大部分切除术
慢性胆囊炎
chronic cholecystitis
laparoscopy
partial cholecystectomy
