腹腔镜胆囊切除术治疗复杂性胆囊炎的术中处理研究  

Intraoperative Treatment of Laparoscopic Cholecystectomy for Complicated Cholecystitis

作　　者：曹双军[1] 王红禄[1] 石庆龙[1] 于海洋[1] 任正华[1] 

机构地区：[1]首都医科大学良乡教学医院普外科,北京102401

出　　处：《中国继续医学教育》2017年第12期93-95,共3页China Continuing Medical Education

摘　　要：随着腹腔镜器械与微创外科技术以及临床医师手术经验的日益完善,腹腔镜胆囊切除术已成为当前治疗胆囊结石等良性病变的"金标准"。但复杂性胆囊炎由于反复炎症经常造成胆囊壁变厚,周围组织粘连严重致解剖模糊、胆囊与周围器官瘘、Calot三角粘连严重等原因,极大增加了腹腔镜胆囊切除术的手术难度与风险。稍有不慎可能引起胆管损伤或周围组织脏器副损伤等,严重影响到患者的预后情况。因此,文章对腹腔镜胆囊切除术治疗复杂性胆囊炎的术中处理方法进行简要综述,以供参考。With the improvement of laparoscopic instruments and minimally invasive surgery and personal surgery experience, laparoscopic cholecystectomy has become the ＂ gold standard＂ for the treatment of benign lesions such as gallstone. However, because of the repeated inflammation often caused by recurrent inflammation, adhesions in the surrounding tissue, severe dissection of the surrounding tissues, fistula of the gallbladder and surrounding organ, and severe sanjiaozhan, increase the difficulty and risk of laparoscopic choleeystectomy. Any carelessness may cause bile duct injury or peripheral organ damage, which seriously affect the prognosis of patients. Therefore, this paper briefly summarizes the treatment of laparoscopic cholecystectomy for complex cholecystitis, for reference.

关 键 词：腹腔镜 复杂性胆囊炎 术中处理 

分 类 号：R575.6[医药卫生—消化系统]