腹腔镜胆囊三角Ⅴ型解剖临床应用  

SIGNIFICANCE OF V-ANATOMY OF GALL BLADDER TVIANGLE IN THE CHOLECY,STECTOMG

作　　者：雷海录[1] 雷莹[1] 延伟[1] 

机构地区：[1]解放军451医院,西安710054

出　　处：《肝胆外科杂志》2010年第3期210-211,共2页Journal of Hepatobiliary Surgery

摘　　要：目的探讨腹腔镜胆囊三角解剖的最佳手术捷径。方法采用回顾性分析法。在我中心18726例胆囊三角后侧入路解剖,与2968例胆囊三角Ⅴ型解剖入路、术后并发症进行分析。结果腹腔镜胆囊三角后侧入路组,术中胆道损伤28例(0.15%),胆漏62例(0.33%),胆囊三角Ⅴ型解剖组,胆道损伤1例,胆漏3例(0.1%)两者统计学处理有非常显著差异(P<0.01)。结论腹腔镜胆囊切除采用胆囊三角Ⅴ型解剖是目前最佳手术方法。Objective To discuss the best surgical method of Laparoscopic cholecystectomy.Methods To compare the complications of dissecting from the posterior and V-dissection of calot triangle by retrospective analysis.Results In the team posterior of calot triangle,there are 28 cases that bile duct injuried（0.15%） and 62 cases that bile leakage happened（0.33%） while there are 1（0.03%）and 3（0.1%） happened in the team V-dissection.The results have statistical difference compared.Conclusion With V-dissection is the best surgical method of LC.

关 键 词：腹腔镜 胆囊切除 后侧入路 Ⅴ型解剖 

分 类 号：R657.4[医药卫生—外科学]