两孔法腹腔镜胆囊切除术120例应用体会  

Experience of two-hole laparoscopic cholecystectomy

作　　者：徐欣[1] 冯轲[1] 付强[1] 付江华[1] 钱飞[1] 李院江[1] 

机构地区：[1]玉溪市人民医院普外一科,云南653100

出　　处：《腹部外科》2012年第3期172-173,共2页Journal of Abdominal Surgery

摘　　要：目的探讨两孔法腹腔镜胆囊切除术的可行性、技术应用价值及安全性。方法回顾性分析120例慢性胆囊炎、胆囊结石及胆囊息肉样病变病人行两孔法腹腔镜胆囊切除术的临床资料。结果120例手术均获得成功，无一中转开腹。手术时间20－40min，平均25min；术中出血量5～20ml，平均8ml。术后住院3～5d，平均3．8d.无手术并发症发生；术后随访2个月无胆瘘、出血、腹痛、发热、黄疸及腹壁疝发生。结论两孔法腹腔镜胆囊切除术治疗胆囊良性疾病是安全有效的，在进一步减少腹部的手术切口数量的同时不增加手术失败及副损伤的概率。Objective To find the feasibility, the applied value and security of two-hole laparoscopic choleeystectomy. Methods The clinic data of 120 patients who received two-hole larparoscopic cholecystectomy were retrospectively reviewed. Results 120 patients were operated successfully. Operative time was 20-40 min （mean 25 min）, and blood loss was 5-20 ml （mean 8 ml）. No complications occurred, patients were followed up for 2 months, and no bile leakage, bleeding, abdominal pain, fever, jaundice and abdominal wall hernia occurred. Conclusion Two-hole laparoscopic cholecystectomy for benign gallbladder disease is safe and effective, which can further reduce the times of abdominal incision surgery without increasing the probability of failure and side injury.

关 键 词：胆囊切除术 腹腔镜 外科手术 微创性 胆囊疾病 回顾性研究 

分 类 号：R657.4[医药卫生—外科学]