小切口胆囊切除术3500例临床报告  

Clinic study of minicholecystectomy:report of 3500 cases.

作　　者：张光全[1] 程泰煦[1] 李玲[1] 马小平[1] 廖忠[1] 朱成华[1] 

机构地区：[1]成都市第六人民医院肝胆外科,610051

出　　处：《中国实用外科杂志》2000年第9期555-556,共2页Chinese Journal of Practical Surgery

摘　　要：目的　报告小切口胆囊切除术的手术方法。方法　回顾分析自 1991年 4月至 1999年 9月 35 0 0例小切口胆囊切除术的应用情况 ,介绍两点关键技术 ,即自制深部打结器和缝扎胆囊三角系膜技术。结果　全组小切口手术成功 3378例 (96 5 % ) ,延长切口 12 2例 (3 5 % )。严重并发症有 :胆道损伤 4例 (0 12 % ) ,横结肠损伤 2例 (0 0 6 % ) ,术中大出血 2例 (0 0 6 % ) ,漏胆 2 1例 (0 6 0 % ) ,死亡 2例 (0 0 6 % )。结论　在传统胆囊切除术熟练的基础上开展小切口胆囊切除术是安全可行的。Objective To report the methods of operation for minicholecystectomy.Methods The clinical application in 3500 cases of minicholecystectomy from April 1991 to September 1999 were analysed.Two techniques were introduced:self-made deep knotter and suturing bind of gallbladder the calot.Results The 3378 cases(96.5%) were cured with minicholecystectomy,122 cases(3.5%) incision lengthened.Serious of complications 4 cases(0.12%) of bile duct injury,2 cases (0.06%) of colon injury,2 cases(0.06%) of massive haemorrhage,21 cases (0.6%) of leak bile,2 cases (0.06%) died.Conclusion To skillfully operate the conventional cholecystectomy in basis could be safely performed with minicholecystectomy.

关 键 词：小切口胆囊切除术 MC 术式 疗效 

分 类 号：R657.4[医药卫生—外科学]