肥胖患者腹腔镜胆囊切除术中胆囊三角的处理体会  

Experience in treating Calot triangle in laparoscopic cholecystectomy for obese patients

作　　者：庄建民[1] 纪程宏[1] 肖春林[1] 

机构地区：[1]厦门市第二医院,福建厦门361021

出　　处：《腹腔镜外科杂志》2010年第11期838-840,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨肥胖患者腹腔镜胆囊切除术的技巧和方法。方法:回顾分析2002年1月至2010年1月为426例肥胖患者施行腹腔镜胆囊切除术的临床资料。结果:本组患者均在腹腔镜下完成胆囊切除术。与非肥胖患者(2 821例)相比手术时间、术后发热时间、术后住院时间差异无统计学意义,肥胖患者的术中出血量大于非肥胖患者,差异有统计学意义。结论:正确掌握电钩与分离钳的使用技巧是为肥胖患者行腹腔镜胆囊切除术的关键,掌握胆囊后三角的结构有利于手术的顺利进行。Objective：To explore the technique and means in laparoscopic cholecystectomy（LC） for the fat patients.Methods：Retrospective analysis was made on the clinical data of 426 fat patients who underwent LC from Jan.2002 to Jan.2010.Results：All patients were successfully operated with LC.Compared with 2 821 un-fat patients,the operation duration,the fever time and the hospital stay after operation showed no statistically significant,the blood loss in the fat patients was more than that in the un-fat patients,the difference between the two groups showed statistical significance.Conclusions：It is the key to correctly master the technique of clamps and electric hook,and understand the structures of posterior Calot triangle during LC for the fat patients.

关 键 词：肥胖 胆囊切除术 腹腔镜 胆囊三角 

分 类 号：R657.4[医药卫生—外科学]