左肋缘下闭式气腹技术在腹腔镜胆囊切除术中的临床应用(附37例报告)  

Clinical Application of Closed Approach of Creating a Pneumoperitoneum at Left Subcostal in Laparoscopic Cholecysetectomy(37 Cases Report)

作　　者：万正东[1] 蔡立智[2] 李清林[2] 邓黎[2] 

机构地区：[1]长江大学临床医学院,湖北荆州434000 [2]长江大学临床医学院医院荆州市第一人民医院外科,湖北荆州434000

出　　处：《长江大学学报（自科版）（下旬）》2009年第3期26-27,共2页Journal of Yangtze University

摘　　要：目的:探讨左肋缘下闭式气腹技术在腹腔镜胆囊切除术中应用的安全性和可行性。方法:回顾性分析因胆囊结石行腹腔镜胆囊切除术37例患者的临床资料。结果:左肋缘下闭式气腹技术成功36例,成功率97%(仅1例因左上腹疤痕而转为脐缘下穿刺气腹技术),平均气腹穿刺时间3min,术中穿刺口出血1～3ml。1例患者因左上腹大网膜与前腹壁粘连有较轻的大网膜挫伤,未见有其它脏器损伤,无手术死亡病例发生。结论:左肋缘下闭式穿刺气腹技术安全、可靠,能作为腹腔镜胆囊切除手术一种可替代的气腹技术。Objective:To investigate the safety and feasibility of creating a pneumoperitoneum at left subcostal in laparoscopic cholecysetectomy.Methods:A total of 37 laparoscopic cholecysetectomy procedures performed at one practice from 2007 to 2008 were reviewed.Results:The left subcostal closed approach was successful in 36 patients(97%)(1 casewas not completed due to left subcostal surgical scars).An omental contunding in one patient was the only complication.Average puncturing time was 3min,postoperative bleeding were 1～3ml,and there were no death cases.Conclusion:The left subcostal closed approach is a safe and effective method for creating a pneumoperitoneum in laparoscopic cholecystectomy.

关 键 词：左肋缘下 气腹技术 腹腔镜胆囊切除术 

分 类 号：R657.4[医药卫生—外科学]