上腹部手术史患者行腹腔镜胆囊切除术的临床分析  

Cinical analysis of laparoscopic cholecystectomy on patients with epigastric operation history

作　　者：张永乐[1] 折占飞[1] 王怀明[1] 

机构地区：[1]内蒙古鄂尔多斯市中心医院普外科,内蒙古鄂尔多斯市017000

出　　处：《临床医学研究与实践》2016年第3期8-9,共2页Clinical Research and Practice

摘　　要：目的探讨有上腹部手术史患者行腹腔镜胆囊切除术(LC)的可行性及操作要点。方法回顾性分析内蒙古鄂尔多斯市中心医院普外科2013年1月至2016年1月收治的30例有上腹部手术史胆囊结石患者行LC的临床资料。结果该组患者均顺利完成LC手术,未发生与手术相关的并发症。结论既往有上腹部手术史不是LC的禁忌证,但有腹部手术史者施行LC应选择好第一穿刺点,分离腹腔粘连,建立操作空间和安全松解胆囊区域的粘连,使得胆囊三角区重新获得清晰的解剖。Objective To investigate the feasibility and surgical maneuver of laparoscopic cholecystectomy （LC） in patients with history of upper abdominal surgery. Methods The clinical data of 30 cases of LC with previous upper abdominal surgery, admitted during the period from January 2013 to January 2016. Results LC was successfully performed in all 30 cases. Without postoperative complication, Conclusion History of upper abdominal surgery is not an absolute contraindication for LC. The key points of LC procedure for those patients are carefully locating the insertion point of the first trocar, dissecting minutely the existing intraabdominal adhesions and rendering clearance to the anatomy of Calots triangle.

关 键 词：腹部手术 胆囊切除 腹腔镜 

分 类 号：R657.4[医药卫生—外科学]