腹腔镜手术同时治疗两种腹部疾病  

Laparoscopic Simultaneous Operations on two Abdominal Diseases

作　　者：谢学羿[1] 林唯栋[1] 林贾颖[1] 温顺前[1] 张小永[1] 

机构地区：[1]广东省佛山市第二人民医院肝胆外科,广东佛山528000

出　　处：《中国临床医学》2006年第2期227-228,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨腹腔镜同时手术治疗2种腹部疾病的临床应用价值。方法:回顾分析接受腹腔镜同时手术病例的临床资料、手术时间、住院时间、并发症。结果:共有36例患者接受了包括腹腔镜胆囊切除术(LC)、阑尾切除术((LA)、胆总管探查术(LCBDE)、经腹膜前疝修补术(TAPP)及肝囊肿揭盖术((LFLC)的同时手术,其中LC+LA 10例,LC+TAPP 12 例,LC+LCBDE 11例,LA+TAPP 1例,LC+LFLC2例。36例中大于65岁者19例(52．8％),22例(61．1％)合并其它系统疾病。LC+LA、LC+TAPP、LC+LCBDE的手术时间(min)、分别为111．5±40．1 119．6±29．0、和185．5±47．6;住院时间(d)分别为7．74±4．3,7．4±2．5,24．8±10．6。5例中转开腹,全部病例治愈出院。除2例切口感染外无其它并发症发生。结论:腹腔镜同时手术治疗2种腹部疾病安全可行。Objective, To investigate the clinical application of laparoscopic simultaneous operations on two abdominal diseases. Methods： The clinical data, operation time, inpatient time and complications of the cases which accepted the laparoseopic simultaneous operations were analyzed retrospectively. Results： Totally 36 cases accepted laparoscopic simultaneous operations including of laparoscopic cholecystectomy（LC）, laparoscopic appendectomy（LA）, laparoscopic common bile duct exploration （LCBDE）, transabdominal preperitoneal laparoscopic herniorrhaphy（TAPP）, laparoscopic fenestration of liver cyst（LFLC）, and among them 10 cases accepted LC±LA, 12 cases LC±TAPP, 11 cases LC±LCBDE, 1 case LA-FTAPP, 2 casesLC± LFLC. 19 of 36（ 19/36,52. 8 % ） were more than 65 years old and 22 （22/36,61.1 % ） had diseases on other systems or organs. The operation time（rain）, the inpatient time（day）of LC±LA, LC±TAPP, LC±LCBDE group was 111.5 ± 40. 1,9. 7 ± 4. 3 ; 119. 6 ± 29. 0,7. 4 ± 2. 5 ; 185. 5 ± 47. 6 ; 24. 8 ± 10. 6 respectively. 5 case converted to laparatomy. There was no mortality or modality, and 2 cases incision infection. Conclusion： Laparoseopic simultaneous operations on two abdominal diseases arc safe and feasible.

关 键 词：腹腔镜 同时手术 腹部 

分 类 号：R656[医药卫生—外科学]