腹腔镜手术治疗胆囊疾病及腹内脏器并存病变  

Laparoscopic treatment of diseases of the gallbladder and co-existent lesions of other abdominal viscera

作　　者：李靖[1] 梁平[1] 杨彤翰[1] 黄小兵[1] 刘锡能[1] 左国华[1] 丁生才[1] 李洪艳[1] 韩克强[1] 

机构地区：[1]第三军医大学新桥医院肝胆外科,重庆400037

出　　处：《中国普通外科杂志》2004年第12期884-886,共3页China Journal of General Surgery

摘　　要：目的　探讨应用腹腔镜技术行胆囊及其它腹内脏器联合切除的可行性。方法　对 14年间施行的 69例经腹腔镜胆囊及其它脏器联合切除病例的临床资料进行回顾分析。结果　 69例均顺利完成腹腔镜手术 ,无中转开腹病例。平均手术时间 (85 .5± 18.6)min ,术后胃肠功能恢复时间(2 7.3± 6.2 )h ,术后平均住院时间 (3 .9± 0 .8)d。无术中及术后并发症 ,治疗效果满意。结论　腹腔镜下胆囊及其它腹内脏器联合切除是安全可行的 ,可同时治疗胆囊合并其它腹内脏器病变 ,一次手术可解除多个脏器病变 ,明显减轻了患者的痛苦 ,降低了治疗费用 ,值得推广应用。Objective To investigate the feasibility of combined laparoscopic resection of gallbladder and other viscera. Methods The clinical data of 69 cases of combined laparoscopic resection of gallbladder and other viscera from January 1999 to July 2004 were reviewed retrospectively. Results The laparoscopic operation was successful in 69cases,and no case was converted to laparotomy.The average operation time was(85.5±18.6)min,and the time of return of gastrointestinal function was(27.3±6.2)h. The average hospitalization time after operation was(3.9±0.8)d.There were no operative or postoperative complications , and the therapeutic results were satisfactory. Conclusions The combined laparoscopic resection of the gall bladder and other viscera is safe and feasible. It is possible to treat gallbladder diseases and associated lesions of abdominal viscera simultaneously. The lesions of several organs can be treated at one operation. This can significantly decrease patients′ pain and lower the cost of treatment, and is worthy of wide usage.

关 键 词：胆囊切除术 腹腔镜 胆囊疾病/外科学 

分 类 号：R572[医药卫生—消化系统] R657.4[医药卫生—内科学]