困难性腹腔镜胆囊切除手术方法讨论  

The Clinical Analysis of Difficult Laparoscopy Cholecystectomy

作　　者：马良龙[1] 俞磊[1] 张书民[1] 崔经建[1] 

机构地区：[1]安徽省淮北市人民医院普外科,235000

出　　处：《中华全科医学》2010年第3期330-331,共2页Chinese Journal of General Practice

摘　　要：目的探讨困难性腹腔镜胆囊切除(LC)的手术方法。方法回顾分析淮北市人民医院2004年7月-2009年7月41例困难性腹腔镜胆囊切除的临床资料。结果41例中8例中转开腹,6例为上腹部粘连严重显露胆囊困难,1例腹腔粘连严重分离时创面渗血解剖不清,1例为胆囊萎缩胆囊三角解剖变异。41例皆顺利康复出院。结论在进行困难性腹腔镜胆囊切除时,术者必须具备熟练的镜下操作技术,术中应仔细、认真地操作,分离胆囊时可以顺逆结合,必要时行胆囊大部切除,当手术安全性不确切时应及时中转开腹。Objective To explore the methods and feasibility of difficult laparoscopy cholecystectomy. Methods The clinical data of 41cases from July 2004 to July 2009 were analyzed retrospectively. Results 8 cases were converted to open surgery and 33 were performed completed laproscopy. All the 41 cases recovered quickly. Conclusion The difficult laparoseopy cholecystectomy should be performed carefully by the skilled surgeon. The subtotal laparoscopy cholecystectomy and appropriate open chole. cystectomy was necessary in LC sometimes.

关 键 词：腹腔镜术 胆囊切除 困难 

分 类 号：R657.4[医药卫生—外科学] R575.6[医药卫生—临床医学]