腹腔镜下困难胆囊切除的类型与手术技巧  

The types of difficulty and the Operation skills in Laparoscopic cholecystectomy

作　　者：王清茂[1] 顾思平[1] 蔡晓东[1] 游志远[1] 林宗棋 

机构地区：[1]福建省石狮市医院外科,石狮362700

出　　处：《中华腔镜外科杂志（电子版）》2011年第6期24-26,共3页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

基　　金：泉州市科技局立项资助项目(编号:2008Z68;2009Z18)

摘　　要：目的探讨腹腔镜下困难胆囊切除的类型及手术处理的技巧。方法回顾性分析2008年2月至2011年6月在常规气管插管全身麻醉下,采用三孔法或四孔法行腹腔镜下困难胆囊切除术43例的临床资料。结果 40例患者成功完成腹腔镜胆囊切除术(LC),中转开腹3例,手术时间80～180min,平均120min,住院天数5～10d,平均7d,无胆道损伤、胆漏、腹腔感染等并发症发生。结论腹腔镜下切除困难的胆囊,应视胆囊病变情况,灵活采取相应的方法和技巧,能有效预防胆道损伤和其他并发症发生。Objective To investigate the types of difficulty and the Operation skills in Laparoscopic cholecystectomy. Methods A retrospective analysis of 43 patients from February 2008 to June 2011 who were received Laparoscopie cholecystectomy and the operations were difficulty. All patients were general anesthesia with trachea cannula, then did laparoscopic cholecystectomy using three holes or four holes . Results Forty of them were completed laparoscopic cholecystectomy （LC） successfully, 3 of them transferred to open operation , Operation time was 80 - 180min, an average of 120 min, length of stays was 5-10d, an average of 7d, no bile duct injury, biliary fistula, intra-abdominal infections complications. Conclusions To those gallbladders which were difficult to removal under laparoscope, according to the different of the gallbladder disease, to be flexible to take the appropriate methods and techniques, can effectively prevent bile duct injury and other complications.

关 键 词：腹腔镜 困难胆囊切除术 胆道取石镜 胆囊管 

分 类 号：R657.4[医药卫生—外科学]