小切口胆囊切除术359例临床分析  

The analysis of 359 cases of minilaparotomy cholecystectomy

作　　者：唐鸿云[1] 黄秀珍[1] 

机构地区：[1]东莞市桥头医院,523523

出　　处：《国际医药卫生导报》2009年第22期34-36,共3页International Medicine and Health Guidance News

摘　　要：目的探讨小切口胆囊切除术的临床应用价值。方法对359例病例的小切口胆囊切除术资料进行回顾性分析,总结小切口胆囊切除术的手术优点和手术操作要点。结果359例小切口胆囊切除术均顺利完成,术后未用止痛药物的172例,占47.9%,24h内均恢复进食并下床活动,无意外出血,无l例切口感染;术后7d内出院的241例,占67.1%,住院时间最长者11d,手术时间最短38min,最长135min,平均52min,术后349例7～24h离床活动,252例未行术后镇痛。术后出院时间4～20d,平均随访6个月,无1例并发症发生。结论小切口胆囊切除术安全,手术时间短,患者痛苦小、恢复快、住院时间短、瘢痕小,其操作要点易于掌握,只要掌握MC的适应证,排除Calot三角处严重水肿、粘连,大多数病人均可行MC手术。Objective To investigate the minilaparotomy cholecystectomy（MC） value in clinical application.Methods 359 cases of minilaparotomy cholecystectomy were retrospectively analyzed,summarized the advantages and the main point of surgery and operation of the minilaparotomy cholecystectomy. Results 359 cases of minilaparotomy cholecystectomy were successfully completed,after the operation, there were 172 cases without using the painkiller,accounting for 4 7.9%.Within 24 hours all recovered to take food and have out-of-bed activity, non-accidental bleeding, none of the incisions had infection.241 cases of the patients discharged from the hospital within 7d after operations,accounting for 67.1%,the longest length of stay was 11d. The shortest operation time was 38 minutes,and the longest one was 135 minutes, the average time was 52 minutes,there were 349 cases have the out-of-bed with 7～24 hours after the operations,and 252 cases were without postoperative analgesia.The discharged time was within 4～20d, the average time of follow-up visit was 6 months.there was none of complications.Conclusions The minilaparotomy cholecystectomy was safe, little painful,with short operative time,quick recovery,short hospitalization time,small scar,and easy to grasp the main points of its operation,as long as the master of the indications for MC.Rule out the serious edema of Calot triangle,adhesion patients,majority of patients can be MC linesurgery.Operators can do skillfully.It is worth for extending.

关 键 词：小切口 胆囊切除术 临床分析 

分 类 号：R657.4[医药卫生—外科学] R737.9[医药卫生—临床医学]