三孔法腹腔镜胆囊切除术2860例临床分析  

Analysis of 2860 patients undergoing three-port laparoscopic cholecystectomy

作　　者：王磊[1] 马宝庆[1] 白光[1] 吴刚[1] 曾巍[1] 王亮[1] 王忠利[1] 

机构地区：[1]辽宁医学院附属第一医院微创外科,辽宁省锦州市121000

出　　处：《中国医药》2008年第8期480-481,共2页China Medicine

摘　　要：目的探讨三孔法腹腔镜胆囊切除术的应用价值。方法回顾性分析2860例行三孔法腹腔镜胆囊切除术患者的临床资料。结果2773例成功完成三孔法腹腔镜胆囊切除术，转为四孔法56例，中转开腹31例。术后全组无死亡。术中出血平均为10ml；手术时间15～55min，平均30min；术后住院2～8d，平均3．2d。结论三孔法腹腔镜胆囊切除术具有创伤小、时间短、失血少、恢复快等优点，是一种安全有效，值得推广的方法。Objective To investigate the therapeutic value of three-port approach laparoscopic cholecystectomy. Methods Clinical data from 2860 cases between October 1998 and May 2007 undergoing elective laparoscopic cholecystectomy via three -port technique was analyzed： Results 2773 patients successfully underwent the three-port laparoscopic cholecystectomy. Fourth port was used in 56 patients. 31 patients were converted to open cholecystectomy. Operative time ranged from 15 to 55 min （mean, 30 min）. The postoperative hospital stay ranged from 2 to 8 days. Conclusion Laparoscopic cholecystectomy via three-port technique has many advantages such as being mini-invasive, less painful, shorter in duration, less blood loss and rapid recovery and therefore deserves widespread application.

关 键 词：胆囊切除术 腹腔镜 三孔法 

分 类 号：R657.4[医药卫生—外科学]