腹腔镜胆囊切除术后胆囊残留病变的临床分析  

Clinical analysis of residual gallbladder disease after laparoscopic cholecystectomy

作　　者：周正斌[1] 

机构地区：[1]湖南航天医院普通外科,湖南长沙410205

出　　处：《局解手术学杂志》2014年第3期270-272,共3页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨腹腔镜术后胆囊残留病变原因及临床疗效。方法对我院2006年2月至2013年2月收治的30例行腹腔镜胆囊切除术后发生胆囊残留病变的患者进行二次手术,对病变诊断及治疗效果进行回顾性分析。结果胆囊残留病变经手术均被成功切除,患者术前症状得到缓解,患者平均住院时间为8.2 d,手术前后对比差异具有统计学意义(P<0.05)。2例出现伤口延迟愈合,其余术后效果良好,出院时所有患者血检指标均恢复正常。结论严格按照相关操作步骤开展胆囊切除术,做到准确无误,能最大限度防止胆囊发生残留病变。如发现患者有较明显的胆囊残留病变症状应及早诊治,并尽快进行二次手术,可显著改善患者症状,提高术后生活质量。Objective To analyze the causes of residual gallbladder disease after claparoscopic cholecystectomy. Methods From Feb- ruary 2006 to February 2013, there were 30 patients with residual gallbladder disease after laparoscopic eholecystectomy, and they were given second surgery in our hospital. Results The residual gallbladder lesions were successfully removed. Symtoms before operation were relieved or disappear. The average duration of hospital stays was 8.2 d. The difference between before and after surgery was statistically significant（ P 〈 0.05 ）. There were 2 cases of delayed wound healing, and the others were of good curative effect. And blood test indicators of all the pa- tients recovered to normal when they leave hospital. Conclusion The surgery was carried out strictly aecordding to the relevant procedure to prevent the occurrence of residual cystic lesions. If the patients were found to have obvious symptoms of residual gallbladder disease, they should be early diagnosed and recieved second surgery as soon as possible so as to cure disease and improve quality of life after surgery.

关 键 词：腹腔镜胆囊切除术 胆囊残留病变 临床疗效 

分 类 号：R575.6[医药卫生—消化系统]