摘要
目的:探讨Mirizzi综合征的腹腔镜手术技巧。方法:回顾分析为28例Mirizzi综合征患者施行腹腔镜手术的临床资料。结果:28例中,Ⅰ型21例,均成功地实施了腹腔镜胆囊切除术;Ⅱ型5例,均于腹腔镜下行一期缝合术修复瘘口;Ⅲ型2例,均因Calot三角致密粘连而中转开腹,用部分胆囊壁缝合覆盖于瘘口,放置T管支撑引流。术后1例少量胆漏,经引流抗炎后治愈;余者均无并发症发生。结论:腹腔镜探查术结合术中胆道造影是确诊Mirizzi综合征的可靠方法。丰富的腹腔镜手术经验、耐心细致的操作及合理的手术方式是腹腔镜下正确处理Mirizzi综合征的必要条件。
Objective：To explore the laparoscopic skills for Mirizzi syndrome（MS）.Methods：The clinical data of 28 patients with MS who underwent laparoscopic operation were analyzed retrospectively.Results：Twenty-one cases with MS type Ⅰ underwent laparoscopic cholecystectomy successfully.5 cases with MS typeⅡ underwent laparoscopic cholecystectomy and primary suture of fistula orifice.2 cases with MS type Ⅲ were converted to open surgery for serious adherence in Calot triangle.The fistula orifice was covered with part wall of gallbladder and T tube for drainage was placed in bile duct.Postoperative bile leakage occurred in one case and was cured after drainage and antibiotic therapy.No other complication was observed.Conclusions：Laparoscopic exploration,intraoperative angiography of bile tract,rich operation experience,careful surgical procedures and appropriate operative method are essential in laparoscopic diagnosis and treatment of MS.
出处
《腹腔镜外科杂志》
2011年第7期527-528,共2页
Journal of Laparoscopic Surgery
