胆囊部分切除术在复杂胆囊手术中的应用体会  

作　　者：汪立鑫 

机构地区：[1]蓬莱市人民医院普通外科,山东265600

出　　处：《当代医学》2015年第8期83-84,共2页Contemporary Medicine

摘　　要：目的探讨胆囊部分切除术在复杂胆囊手术中的应用价值。方法选取135例胆囊疾病患者。行胆囊部分切除术60例,行胆囊切除术75例,比较2种术式的疗效及并发症情况。结果胆囊部分切除组较胆囊全切组相比,手术时间较短,出血量较少(P<0.05),发生胆总管损伤及二次手术的几率明显降低(P<0.05)。2组患者住院天数比较,差异无统计学意义;发生胆汁漏及术后出血的几率比较,差异无统计学意义。结论复杂胆囊的胆道结构变异较为复杂,手术操作常较困难。在合理掌握适应证的情况下,胆囊部分切除术是一种简单、短时、有效、安全的手术方式。Objective To study the treatment of partial cholecystectomy in the complex operation of gallbladder. Methods Retrospective analysis of the clinical data of 60 cases of complicated gallbladder subtotal cholecystectomy, 75 cases of cholecystectomy cases, operation effect and complication of contrast of two operative methods. Results Partial cholecystectomy gallbladder resection group is compared, shorter operation time, less bleeding, the incidence of bile duct injury and two operation was obviously reduced. Hospitalization days showed no signiifcant differences between the two groups of patients, no signiifcant differences in probability of bile leakage and hemorrhage after operation. Conclusion Biliary structure variation of complicated gallbladder is complicated, the operation is often more difficult. In the reasonable indications cases, partial cholecystectomy is a simple, short, effective, safe operation way.

关 键 词：胆道疾病 复杂胆囊 胆囊切除术 

分 类 号：R657.4[医药卫生—外科学]