腹腔镜胆囊切除联合手术69例  

69 Cases of Combined Laparoscopic Surgery during Laparoscopic Cholecystectomy

作　　者：王润[1] 周全宝[1] 唐存亮[1] 王秋红[1] 

机构地区：[1]内蒙古科技大学第二附属医院外科, 副主任医师

出　　处：《中国现代手术学杂志》2005年第1期32-33,共2页Chinese Journal of Modern Operative Surgery

摘　　要：目的　探讨腹腔镜胆囊切除 (laparoscopiccholecystectomy, LC)联合手术在微创外科中的应用价值。　方法　回顾性分析 69例慢性胆囊炎合并腹腔其他疾病的联合切除术,其中LC联合阑尾切除术 28例、肝囊肿开窗术 8例、精索静脉曲张高位结扎术 5例、腹股沟斜疝修补 4例、肠粘连松解术3例、子宫次全切除 12例、卵巢囊肿剥除术 8例及右侧肾上腺肿物摘除术 1例。　结果　69例手术均获得成功,无一例中转开腹,无相关并发症发生。　结论　LC联合手术在同一麻醉下完成两种以上手术,创伤小,花费少,住院时间短,病人痛苦少,充分体现微创外科的优越性,值得推广。Objective To investigate the feasibility and v alue of combined laparoscopic surgery during laparoscopic cholecystectomy(LC). Methods 69 cases of combined laparoscopic surgery for chr onic cholecystitis and the co-exist abdominal diseases were retrospectively rev iewed, the combined surgery including appendectomy in 28 cases, hepatic cyst fen estration operation in 8 cases, ligation of varicocele in 5 cases, oblique ingui nal henia repair in 4 cases, enterolysis in 3 cases, subtotal hysterectomy in 12 cases, ophorocystectomy in 8 cases, right adrenal gland tumor resection in 1 ca se. Result There was no conversion to open surgery, nor complication ocurred. Conclusion The combined laparoscop ic surgery during LC can be demonstrated as a minimal invasive, low cost, short hospital stay and less pain minimal invasion surgical modality.

关 键 词：腹腔镜胆囊切除 联合手术 精索静脉曲张高位结扎术 卵巢囊肿剥除术 肝囊肿开窗术 肠粘连松解术 子宫次全切除 微创外科 联合切除术 慢性胆囊炎 阑尾切除术 肿物摘除术 相关并发症 应用价值 其他疾病 腹股沟斜 中转开腹 

分 类 号：R657.4[医药卫生—外科学] R776.1[医药卫生—临床医学]