腹腔镜手术治疗胆囊良性病变372例临床分析  

作　　者：张强斌[1] 谭一言[1] 杨斌[1] 

机构地区：[1]四川省眉山市人民医院

出　　处：《当代医学》2011年第18期2-4,共3页Contemporary Medicine

摘　　要：目的探讨腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)的疗效及预防并发症发生的措施。方法回顾性分析2005年9月～2009年10月收治的372例腹腔镜手术治疗胆囊良性病变患者的临床资料。结果 369例均顺利完成LC手术,手术时间30～150min,平均55min;术中出血2～150ml,平均10ml,住院5～9d,3例中转开腹。无明显并发症发生。结论 LC是安全、理想的手术方式,具有创伤小、出血少、康复快等优点。具备熟练的腹腔镜操作技术,熟知器械性能,掌握适应证,重视Calot三角的解剖,精细操作,适时中转开腹是减少并发症的关键。Objective To explore the clinical efficiency and preventive measures of complications in laparoscopic cholecystectomy（LC）.Methods The clinical data of 372 patients who suffered from benign gallbladder disease by laparoscopic operation from Sep.2005 to Oct.2009 were retrospectively analyzed.Results 369 cases of laparoscopic surgeries were successful.Operation time was 30 to 150 minutes,mean time was 55 minutes.Intraoperative blood loss was 2 to 150 ml,mean blood loss was 10 ml,hospital stay was 5 to 9 days,3 cases were converted to open surgery,and no evident complication happened.Conclusion Laparoscopic cholecystectomy is a safe and ideal method and it has thi advantages of minimal trauma,quick recovery and less blood loss.If the surgeon has skolled laparoscopic operative technique,knowledge of insrrument function.It is necessaty to pay more attention to and lay more strict control of the indications of LC.Being familiar with the anatomy of Calot triangle,finely manipulation during the operation and properly conversion to open surgery are essential in decreasing the complications.

关 键 词：胆囊良性病变 腹腔镜 胆囊切除术 临床分析 

分 类 号：R657.4[医药卫生—外科学]