逆行切除术在困难腹腔镜胆囊切除术中的应用  

Application of retrograde resection in difficult laparoscopic cholecystectomy

作　　者：唐敏[1] 郑大荣[1] 王华[1] 张晓宇[1] 

机构地区：[1]遂宁市第一人民医院外二科,四川遂宁629000

出　　处：《现代医药卫生》2008年第24期3657-3659,共3页Journal of Modern Medicine & Health

摘　　要：目的:探讨困难腹腔镜胆囊切除术(Laparoscopic cholecystectomy,LC)中逆行切除术的手术方法及临床意义。方法:采用逆行切除术的困难LC患者327例临床资料进行回顾性分析。结果:除中转开腹12例外,其余病人均LC成功。结论:困难LC适时选用逆行切除术,可提高腹腔镜手术成功率,减少胆管损伤等并发症的发生。Objective：To discuss the method of retrograde cholecystectomy in difficult laparoscopic cholecystectomy （LC） and its clinical significance.Methods ：We reviewed 327 cases which underwent retrograde cholecystectomy from 2003 to 2008, summarized the causes of the operation difficulties and discussed the method and skills of retrograde cholecystectomy.Results：Most cases underwent successfully laparoscopic cholecystectomy except for 12 cases converted to laparotomy （3.67%）;none had the bile duct injury, postoperative jaundice or hemorrhage but one with bile leak.Conclusion：Retrograde cholecystectomy could be chosen timely in difficult LC because it could increase the success rate and decrease the complications.

关 键 词：腹腔镜 逆行胆囊切除术 胆管损伤 

分 类 号：R6[医药卫生—外科学]