腹腔镜胆囊切除术中嵌顿性胆囊结石的处理策略  

Processing Strategy of Impacted Gallstones during Laparoscopic Cholecystectomy

作　　者：俞亚红[1] 张先林[1] 陈忠[1] 丁志强[1] 秦仁义[1] 卢兴培[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院胆胰外科,武汉430030

出　　处：《华中科技大学学报（医学版）》2009年第2期258-259,共2页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

摘　　要：目的探讨腹腔镜胆囊切除术(LC)中嵌顿性胆囊结石的处理方法。方法回顾性分析腹腔镜手术治疗胆囊颈和壶腹部结石嵌顿患者456例的临床效果及并发症发生情况。结果450例顺利完成腹腔镜胆囊切除术,6例中转开腹,患者均痊愈出院。结论胆囊颈和壶腹部结石嵌顿行腹腔镜胆囊切除术是安全可行的。术前详细评估、明确诊断、熟练的腹腔镜操作技术、选择恰当的处理策略是关键。Objective To explore the processing strategy of impacted gallstone during laparoscopic cholecystectomy（LC）. Methods The clinical data of 456 patients with impacted gallstones subject to LC were analyzed retrospectively. Results A total of 450 cases were treated with LC successfully, and 6 cases converted to laparotomy. All the patients recovered and were discharged. Conclusion LC is a safe and feasible treatment for impacted gallstones. In detail preoperative evaluation,definite diagnoses, experienced skills of laparoscopic procedure, and selection of appropriate processing strategy are crucial for impacted gallstones.

关 键 词：腹腔镜胆囊切除术 胆囊结石 嵌顿性胆囊结石 

分 类 号：R657.4[医药卫生—外科学]