腹腔镜在胆囊颈部结石嵌顿中的应用  

APPLICATION OF LAPAROSCOY IN GALLBLADDER CALCULI INCARCERATION

作　　者：张天华[1] 

机构地区：[1]遵义医学院第三附院,遵义563002

出　　处：《肝胆外科杂志》2009年第2期108-110,共3页Journal of Hepatobiliary Surgery

摘　　要：目的总结胆囊颈部结石嵌顿患者行腹腔镜胆囊切除术(Laparoscopic cholecystectomy,LC)的治疗经验。方法回顾分析腹腔镜手术治疗320例胆囊颈部结石嵌顿患者的临床资料。结果本组中转开腹19例,LC成功率94%,无一例胆管、肠管损伤,均获治愈。结论在术者熟练的操作技巧,合理选择中转开腹时机的前提下,胆囊颈部结石嵌顿患者行腹腔镜胆囊切除术是安全可行的。Objective To summarize the experience of laparoscopic cholecystectomy （LC） in treatment of gallbladder calculi incarceration. Methods The date 320 cases of gallbladder stone incarceration performed by LC were retrospectively analyzed. Results 19 out of 320 were converted to open cholecystectomy . The successful rate of LC was 94%. There were no complications such as bile and intestinal injury. Conclusios LC for gallbladder calculi incarceration is safe and feasible as long as the operator had skilled technique and made the right decision on opportunity of conversion.

关 键 词：胆囊颈部结石嵌顿 胆囊切除术 腹腔镜 

分 类 号：R657.4[医药卫生—外科学]