摘要
目的探讨腹腔镜下行复杂性胆囊炎胆囊切除的手术方式。方法 83例复杂性胆囊炎患者均行腹腔镜胆囊切除术(LC),对术中的操作方法及术中胆囊管残端处理的方式进行分析。结果 83例中除3例中转开腹,2例术后在B超引导下穿刺置管引流后痊愈外,其余病例均成功治愈,无胆管损伤并发症发生。结论 LC治疗复杂性胆囊炎,术前采用B超和(或)CT检查与评估、术中细心分离粘连和不强求用钛夹夹闭或结扎胆囊管,而采用腹腔置管引流法,可减少胆管损伤和中转开腹率。
Objective To study the surgical procedures of laparoscopic cholecystectomy（LC） for complicated cholecystitis.Methods Eighty-three patients with complicated cholecystitis underwent LC,and their surgical techniques,cystic duct stump treatment and therapeutic efficacy were summarized.Results Of 83 cases,only 3 were converted to open surgery and 2 received puncture and indewelling catheter drainage under ultrasound guidance.All cases were cured,and no bile duct injury occurred.Conclusion Preoperative type B ultrasound and CT examination,careful adhesion separation,and simple placement of intra-abdominal drainage instead of cystic duct transfixion are helpful for reduction of bile duct trauma and conversion rate.
出处
《广东医学院学报》
2010年第2期136-138,共3页
Journal of Guangdong Medical College
关键词
胆囊结石
复杂性胆囊炎
腹腔镜胆囊切除术
cholecystolithiasis
complicated cholecystitis
laparoscopic cholecystectomy
