腹腔镜胆囊切除术胆囊前三角与胆囊后三角入路对比分析  

Comparative and Analysis of the Former and Posterior Calot's Triangle Approach in Laparoscopic Cholecystectomy

作　　者：俞学军[1] 徐家法[1] 储修峰[1] 张举[1] 

机构地区：[1]中国医科大学绍兴医院肝胆外科,浙江绍兴312030

出　　处：《中国现代医生》2011年第26期135-136,共2页China Modern Doctor

摘　　要：目的分析经胆囊后三角入路行腹腔镜胆囊切除术(LC)的安全性及临床应用价值。方法将120例拟行LC患者分为无粘连组57例和粘连组63例,无粘连组分别有29例和28例行经胆囊前三角入路LC和胆囊后三角入路LC;粘连组有28例和35例行经胆囊前三角入路LC和胆囊后三角入路LC。结果粘连组两种入路的手术时间及术中出血量均大于无粘连组,差异具有统计学意义(P<0.05);粘连组中胆囊后三角入路手术时间和出血量均显著少于胆囊前三角入路,差异具有统计学意义(P<0.05);两组中胆囊后三角入路并发症及术中中转开腹例数均较胆囊前三角入路少(P<0.05)。结论胆囊后三角入路三孔法LC安全可行、容易掌握,手术并发症少,尤其适用于胆囊三角存在粘连的患者。Objective To investigate the security and value of the posterior Calot＇ s triangle approach in laparoscopic cholecystectomy （ LC ）. Methods All 120 cases of LC, divide into adhesion group and non-adhesion group on the basis of if had adhesion among the cholecyst,29 cases and 28 cases were treated by the the former and posterior Calot＇ s triangle approach in LC in the non-adhesion group,28 cases and 35 cases were treated by the the former and posterior Calot＇ s triangle approach in LC in the adhesion group. Results The times and the amount of bleeding in the LC between the tow groups had statistically significant difference（ P 〈 0.05 ） .The times and the amount of bleeding in the LC between the tow approach had statistically significant difference （ P 〈 0.05 ）. The complications and cases of turn to open surgery between the tow approach in the adhesion group had statistically significant difference （ P 〈 0.05 ）. Conclusion the posterior Calot＇ s triangle approach in LC is safe and feasible, less complications, especially apply appropriate for the cases with adhesion among the cholecyst.

关 键 词：胆囊后三角 腹腔镜 胆囊切除术 

分 类 号：R657.4[医药卫生—外科学]