简化的腹腔镜胆囊联合阑尾切除术的应用体会  

The experience of simplified laparoscopic cholecystectomy combined with appendectomy

作　　者：杨昌平[1] 曹金林[1] 孙雪锋[2] 邵银灿[1] 郭海鹰[2] 

机构地区：[1]解放军第一一七医院,浙江杭州310004 [2]解放军第三二二医院

出　　处：《腹腔镜外科杂志》2012年第9期698-700,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨简化的腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)联合腹腔镜阑尾切除术(laparoscopic ap-pendectomy)的可行性及安全性。方法:为42例患者行LC联合LA。术中电凝胆囊动脉、阑尾动脉,胆囊管仅施夹一枚可吸收生物夹,阑尾残端用普迪恩线圈套器套扎。结果:42例手术均顺利完成,均无感染、出血及胆道损伤等并发症发生。手术时间40～70 min,中位55 min;平均住院4 d。结论:术者具有娴熟的腹腔镜手术操作技能、严格掌握联合手术原则与适应证,LC联合LA是快捷可行的,手术安全有效。Objective：To discuss the feasibility and safety of a simplified method of laparoscopic cholecystectomy combined with laparoscopic appendectomy.Methods：Forty-two patients accepted the simplified laparoscopic cholecystectomy combined with appendectomy.All the cystic arteries and appendicular arteries were coagulated with electric hook.The cystic duct was clipped with only one absorbable tyco bio-clip,and the appendix stump was ligated with Pu Dien coil device.Results：All the operations were completed successfully with no complications.The operation time was 40-70 min with an average of 55 min.The average length of hospitalization was 4 days.Conclusions：Simplifited laparoscopic cholecystectomy combined with appendectomy is a quick,safe and effective procedure,and the surgeon should have skilled laparoscopic skills and master the principles and indications of combined surgery strictly.

关 键 词：胆囊切除术 腹腔镜 阑尾切除术 电凝血管 联合手术 

分 类 号：R657.4[医药卫生—外科学] R656.8[医药卫生—临床医学]