小斜切口胆囊切除术200例分析  

Cholecystectomy with Small Oblique Incision

作　　者：石洪秀 张天生 

机构地区：[1]龙江县第一人民医院,黑龙江龙江161100

出　　处：《黑龙江医学》2005年第6期433-434,共2页Heilongjiang Medical Journal

摘　　要：目的总结小斜切口胆囊切除的可行性与优点。方法右上腹肋缘内侧第8肋间水平做4～6cm长的平行于肋弓的斜切口,于肝镰状韧带右侧进入腹腔,显露胆囊,找到Calof三角,顺行切除胆囊。结果80例术后给予肌注度冷丁50mg,其余病例未用任何止痛剂均在12～24h离床活动,术后24～72h进食。住院3～7d,10～14d完全恢复,切口留有纤细瘢痕。结论小斜切选择综合生理解剖特点,不离断腹壁任何肌群,手术操作方便,可否顺利完成胆囊切除术。Objective To summarize the feasible and advantage of cholecystectomy with small oblique incision. Methods The bladder was removed in calof triangle at 8 th rib level of right inside of 4～6 mm oblique incision. Results 80 cases were performed such method with 50 mg dolantin and ambulation was taken at 12～24 h with oral intake at 24～72 h. the duration of hospitalized was 3～7 d with recovery within twice weeks. Conclusion This method could fit for anatomy characteristics without injury of abdominal wall muscle with safe and easy performance.

关 键 词：胆囊切除术 小斜切口 肝镰状韧带 离床活动 解剖特点 手术操作 右上腹 度冷丁 24h 止痛剂 72h 术后 

分 类 号：R657.4[医药卫生—外科学] R657.3[医药卫生—临床医学]