354例腹腔镜胆囊切除术无胆道损伤的体会  

Experience of 354 cases of laparoscopic cholecystectomy without biliary duct injury

作　　者：曹月敏[1] 张万星[1] 谭文科[1] 江建军[1] 王兰辉[1] 田彦玲[1] 张盼英[1] 

机构地区：[1]河北省人民医院普外科,石家庄050051

出　　处：《中国微创外科杂志》2002年第1期48-49,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的　探讨如何预防腹腔镜胆囊切除术中胆道损伤。　方法　回顾分析 1993年 10月至 2 0 0 0年 6月 35 4例腹腔镜胆囊切除术的临床资料。　结果　 18例因胆囊Calot三角严重粘连、胆囊完全萎缩或既往有上腹部手术史 ,致使腹腔广泛粘连者中转开腹。 35 4例中无一例胆道损伤及其它并发症。术后 (3～ 7)天平均 4天出院。　结论　腹腔镜胆囊切除术应严格选择病例 ,仔细处理Calot三角 ,适时中转开腹是预防胆管损伤的重要措施。Objective To study how to prevent the biliary duct injury caused by laparoscopic cholecystectomy(LC). Methods 354 patients who underwent LC from October 1993 to June 2000 were retrospecitvely analyzed. Results 18 of them were converted to open cholecystectomy due to severe adhesion of Calot's triangle, atrophy of gall bladder or severe adhesion of peritoneal cavity caused by prior abdominal operation. No biliary duct injury and other complications occured in all cases. The average postoperative hospitallization was 4 days (3d～7d). Conclusions Selecting patients strictly, disposing Calot's triangle carefully and converting to open cholecystectomy timely are key factors to prevent biliary duct injury.

关 键 词：腹腔镜 胆囊切除术 并发症 胆道损伤 微创手术 疾病预防 

分 类 号：R657.4[医药卫生—外科学]