上腹部手术史患者行三孔法腹腔镜胆囊切除术的临床分析  

Clinical analysis of three-trocar laparoscopic cholecystectomy for patients with history of upper abdominal operation

作　　者：李坚[1] 辜天慧[1] 袁伟[1] 李全[1] 张志勇[1] 彭煜[1] 谢见平 

机构地区：[1]四川省巴中市中心医院普通外科,636000

出　　处：《重庆医学》2011年第35期3592-3593,共2页Chongqing medicine

摘　　要：目的探讨上腹部手术史患者行三孔法腹腔镜胆囊切除术(LC)的可行性和特点。方法回顾性分析该院97例上腹部手术史后腹腔粘连患者行三孔法LC的临床资料。结果 97例患者中,三孔法及四孔法LC分别成功完成93例及2例,LC成功率为97.9%,中转开腹手术2例。手术时间28～129min,平均45min,术中平均出血20mL。结论上腹部手术史后腹腔粘连患者行三孔法LC是安全、可行的,三孔法可以作为常规方式选择。Objective To discuss the feasibility and characteristics of three-trocar laparoscopic cholecystectomy（LC） for patients with history of upper abdominal operation.Methods The clinical data of 97 patients with celiac adhesion after upper abdominal operation who accepted three-trocar LC were retrospectively analyzed.Results Among 97 cases of LC,three-trocar and four-trocars LC were successfully performed in 93 and 2 patients,respectively,with the LC success rate of 97.9%,2 patients shifted from laparoscopic to open cholecystectomy.The operation time was 28-129 min with the mean time of 45 min and the mean intraoperative bleeding of 20 mL.Conclusion Three-trocar LC is safe and feasible for patients with celiac adhesion after upper abdominal operation,which can be selected as a conventional method.

关 键 词：胆囊切除术 腹腔镜 粘连 再手术 

分 类 号：R657.4[医药卫生—外科学]