摘要
目的探讨急、慢诊施行腹腔镜胆囊(Laparoscopic cholecystectomy,LC)联合阑尾切除术(Laparoscopic appendec-tomy,LA)的操作要点和临床价值。方法回顾性分析了我院2006年9月至2010年2月对30例患者施行腹腔镜胆囊联合阑尾切除术。其中,急性胆囊炎合并慢性阑尾炎12例,急性胆囊炎合并急性阑尾炎1例,慢性胆囊炎合并急性阑尾炎8例,慢性胆囊炎合并慢性阑尾炎9例。结果 30例手术均获成功,无中转开腹,术后无1例胆漏、粪漏,平均手术时间(65.0±33.0)min。结论腹腔镜胆囊切除联合阑尾切除术将需分两次进行的上、下腹手术简易为一次微创手术解决。它体现创伤小,并发症少,恢复快的特点。
Objective To explore the operative main point and clinical effects on combined laparoscopic cholecystectomy and appendectomy.Methods Between September 2006 and February 2010,30 cases of combined laparoscopic cholecystectomy and appendectomy were performed,the data were analyzed retrospectively.Of the patients,there included acute cholecystitis with chronic appendicitis（12 cases）,acute cholecystitis with acute appendicitis（1 case）,chronic cholecystitis with acute appendicitis（8 cases）,and chronic cholecystitis with chronic appendicitis（9 cases）.Results 30 cases all performed combined laparoscopic cholecystectomy and appendectomy successfully.There were no converting to open operation,no biliary leakage,and no excrement leakage.The mean operating time was（65.0±33.0） minutes.Conclusion This kind operation with three trocars can deal with cholecystitis and appendicitis at same time.It well made for advantages of less pain,less complications and more rapid recovery.
出处
《肝胆外科杂志》
2011年第3期204-205,共2页
Journal of Hepatobiliary Surgery
关键词
腹腔镜
胆囊
阑尾
切除
laparoscopic
cholecystitis
appendicitis
