吸引器在腹腔镜胆囊切除术胆囊三角区分离中的应用  

Application of aspirator in dissecting Calot's triangle of laparoscopic cholecystectomy

作　　者：陆昌友[1] 黄君[1] 陈祖宜[1] 但小红[1] 

机构地区：[1]四川省宜宾市第一人民医院普外科,644000

出　　处：《岭南现代临床外科》2006年第1期19-21,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨吸引器在腹腔镜胆囊切除术(LC)的临床应用价值。方法我科自2002年4月～2004年5月将前后两个阶段的病例分为A组和B组进行LC。胆囊三角区的解剖分离:A组使用电凝钩,而B组则主要采用吸引器,对比分析两组手术时间、术中出血量及并发症发生率。结果平均手术时间分别为A组28.5±7.6min,B组为21.1±4.3min;平均出血量分别为13.9±4.7ml、8.8±2.5ml。A组出现胆道损伤2例,B组术中术后没有出现任何并发症。所有患者均痊愈出院。结论吸引器在LC术中适合用来骨骼化胆囊管及胆囊动脉,且是十分安全的。Objective To investgate the clinical application value of aspirator in laparoscopic cholecystectomy.Methods From April 2002 to May 2004,two stage patients were divided into group A and group B and underwent LC.The Calot＇s triangle was dissected by electrocautery in group A and by aspirator in group B.Operative time,haemo rrhagia and complications were compared between two groups.Results The mean operative time was 28.5±7.6min in group A,21.1±4.3min in group B.The mean hemorrhage was 13.9±4.7ml in group A, 8.8±2.5ml in group B. 2 cases with trauma of biliary tract were happened in group A. patients were cured.Conclusion No complications were seen The aspirator is suitable for artery, and this procedure is very safe. during or after operation in group B.AII skeletonizing the cystic duct and cystic

关 键 词：腹腔镜胆囊切除术 吸引器 

分 类 号：R657.4[医药卫生—外科学]