摘要
目的 总结胆囊颈管结石患者行腹腔镜手术治疗的体会.方法 回顾分析142例胆囊颈管结石患者行腹腔镜胆囊切除术的临床资料.结果 136例成功行腹腔镜胆囊切除术,3例加行腹腔镜胆总管探查术;中转开腹6例,中转率4.2%,包括Mirizzi综合征1例、胆囊三角区严重粘连呈＂冰冻样＂4例、胆总管切开取石T管引流1例.结论 在术前高度重视、术中熟练操作的前提下,胆囊颈管结石行腹腔镜手术是安全可行的.
Objective To explore the experience of laparoseopic choleeysteetomy to remove calculus in neck and duct of gallbladder. Methods The clinical data of 142 patients with calculus in neck and duct of gallbladder underwent laparoscopie cholecystectomy from Jun. 2004 to May 2009 were analyzed retrospectively. Results The 136 cases accomplished laparoscopie cholecysteetomy,and 3 cases received laparoscopic exploration of common bile duct additionally. Six cases were converted open cholecystectomy （4.2%） ,including 1 case of Mirizzi syndrome,4 cases of Calot triangle severe adhesions,and 1 case subject to laparoseopic choledochotomy to remove common bile duet stones and T - tube drainage. Conclusion It is safe and feasible to conduct laparoscopic cholecystectomy to remove calculus in neck and duct of gallbladder under precondition that it is given great emphasis before operation and skilful techniques of a surgeon and proper practice are available during procedures.
出处
《临床外科杂志》
2009年第10期665-666,共2页
Journal of Clinical Surgery
关键词
胆囊颈管结石
胆囊切除术
腹腔镜
calculus in neck and duct of gallbladder
cholecystectomy
laparoseope
