小切口胆囊切除术手术技巧与疗效分析  

Operative Technique and Curative Effect Analysis of Minor-Incision Cholecystectomy

作　　者：董勤[1] 孟兴凯[1] 孔广忠[1] 刘俊斌[1] 

机构地区：[1]内蒙古医学院附属医院普外科,呼和浩特010050

出　　处：《中国普外基础与临床杂志》2010年第4期326-328,共3页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的探讨小切口胆囊切除术的手术技巧与疗效。方法回顾性分析我院2001年6月至2009年6月期间672例小切口胆囊切除术的应用情况,重点介绍围手术期处理及手术技巧。结果672例小切口胆囊切除术中,手术成功652例(97.0%),延长切口20例(3.0%)。手术时间为(40.0±10.0)min。术中发生大出血1例,予以介入栓塞治疗成功止血;肝外胆管损伤1例,术中予以修补,放置T管。术后2例患者出现漏胆,予以保守治疗成功;无切口感染,无围手术期死亡患者。结论在传统胆囊切除术熟练的基础上,严格掌握手术适应证,提高手术技巧,开展小切口胆囊切除术是经济、安全、可行的。Objective To discuss the operative technique and curative effect of minor-incision cholecystectomy.Methods The clinical data of 672 patients with application of mini-cholecystectomy from June 2001 to June 2009 were analyzed.Perioperative management and operative technique were emphasized.Results Six hundred and fifty-two cases （97.0%） were cured with mini-cholecystectomy and 20 cases （3.0%） with incision lengthened.Operation time was （40.0±10.0） min.One case with hemorrhoea during operation was cured by interventional embolotherapy.Bile duct injury was found in 1 case during operation,and adopted suture with T tube.There were no infection of incisional wound or death in this study.Conclusion On the basis of skillful conventional cholecystectomy,by controlling indication and improving operative technique,it is an economical and safe way to perform minor-incision cholecystectomy.

关 键 词：小切口胆囊切除术 外科手术 技巧 

分 类 号：R657.4[医药卫生—外科学]