腹腔镜胆囊切除术中处理不同类型胆囊床的体会  

Different treatment for gallbladder bed in laparoscopic cholecystectomy

作　　者：高治军 朱志伟 

机构地区：[1]三门峡市中医院,河南三门峡472000

出　　处：《腹腔镜外科杂志》2005年第3期154-155,共2页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜胆囊切除术(LC)中对不同类型胆囊床进行分类,分别处理的临床意义。方法:对1500例患者根据年龄、性别、有无肝病、是否处于急性期以及胆囊床的形态进行大体分类,并采取不同的处理方法。结果:采取不同的分离方法和措施,有选择地放置引流管,减少了胆囊床及膈下积液的发生。结论:对胆囊床进行分类分别处理,可减少术后胆囊床积液、膈下感染、胆漏和渗血等并发症,缩短术后住院时间。Objective:To study the value of classifying and treating gallbladder beds according to their,different types in laparoscopic cholecystectomy(LC).Methods: 1500 patients were classified according to their age, sex, whether or not with hepatic disease, whether or not in acute phase and the appearance of gallbladder bed, and they were treated accordingly.Results: Complications of dropsy of gallbladder bed and subphrenic, infection lessened in LC.Conclusions: Different treatment for gallbladder bed in LC can reduce the occurrence rate of complications and shorten the hospitalization.

关 键 词：同类型 术中处理 腹腔镜胆囊切除术(LC) 术后住院时间 分别处理 胆囊床积液 临床意义 处理方法 分离方法 膈下积液 膈下感染 急性期 引流管 并发症 

分 类 号：R657.4[医药卫生—外科学]