腹腔镜胆囊切除术中解剖变异的处理体会  

Treatment of anatomic variation during laparoscopic cholecystectomy

作　　者：李秋[1] 叶明新[1] 付文广[1] 淦宇[1] 

机构地区：[1]泸州医学院附属医院,四川泸州646000

出　　处：《现代预防医学》2012年第9期2287-2288,共2页Modern Preventive Medicine

摘　　要：目的探讨腹腔镜胆囊切除术(Laparoscopic Choleeystectomy,LC)中解剖变异的处理。方法回顾分析2000年1月～2010年12月进行的腹腔镜胆囊切除术中79例伴有解剖变异患者的临床资料。结果 72例成功LC,4例中转开腹胆囊切除术,2例开腹胆囊切除术加T管引流,1例开腹胆囊切除术加胆管吻合术。全组病人均痊愈出院。结论在LC时重视解剖变异,规范操作,腹腔镜处理合并解剖变异的胆囊疾病是安全、可行的。OBJECTIVE To investigate the treatment of anatomic variation during laparoscopic cholecystectomy.METHODS 79 cases of gallbladder diseases with anatomic variation were treated by LC and the clinical data were reviewed.RESULTS 72 cases experienced LC,4 cases experienced open cholecystectomy（OC）,2 cases experienced OC and T tube drainage.1 case experienced OC and anastomosis of bile ducts.All patients were cured.CONCLUSION Pay more attention to the anatomic variations and deal with them standardly,it is safe and feasible for laparoscopic treatment in gallbladder diseases with anatomic variations.

关 键 词：胆囊切除术 腹腔镜 解剖变异 

分 类 号：R657.4[医药卫生—外科学]