后三角入路钝性刮吸法在萎缩性胆囊炎腹腔镜胆囊切除术中的应用  

The application of blunt scraping method in posterior Calot's triangle approach of laparoscopic cholecystectomy for atrophic cholecystitis

作　　者：谢嵘[1] 

机构地区：[1]江苏大学附属医院,江苏镇江212000

出　　处：《腹腔镜外科杂志》2015年第4期284-286,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨后三角入路钝性刮吸法在萎缩性胆囊炎腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)中的应用体会。方法:回顾分析2009年1月至2013年12月为97例慢性结石性萎缩性胆囊炎患者行LC的临床资料。结果:93例成功施行LC,手术时间平均(73.5±33.5)min,术中出血量平均(22.1±18.3)ml,术后平均住院(5.0±2.8)d。4例中转开腹,其中Mirizzi综合征2例,胆囊动脉出血1例,意外胆囊癌1例。患者均治愈出院,无术后并发症发生。结论:后三角入路有助于萎缩性胆囊炎患者胆囊管的解剖,仔细的术中操作及适时中转开腹是手术成功的关键。Objective ： To explore the experience of blunt scraping method in posterior Calot＇ s triangle approach of laparoscopic eholeeystectomy （LC） for atrophic choleeystitis. Methods ：The clinical data of 97 patients who suffered from chronic calculous atrophie cholecystitis and underwent LC from Jan. 2009 to Dec. 2013 were retrospectively analyzed. Results：Among 97 patients ,93 cases of LC were performed successfully. The operation time was （73.5 ± 33.5 ） min,intraoperative bleeding volume was （22.1 ± 18.3 ） ml, post- operative hospital stay was （ 5.0 ± 2.8 ） d. 4 patients were converted to laparotomy ,2 cases were Mirizzi syndromes, 1 case was gallblad- der artery bleeding, 1 case was unexpected gallbladder cancer. All patients had no postoperative complications and were discharged from hospital. Conclusions ： Posterior Calot＇ s triangle approachis helpful to dissection of ductus cysticus in LC for atrophic cholecystitis, careful operation and timely conversion to open operation are the keys to successful operation.

关 键 词：萎缩性胆囊炎 胆囊切除术 腹腔镜 胆囊后三角 

分 类 号：R657.4[医药卫生—外科学]