全内脏反位胆囊结石的腹腔镜手术体会  

Reflection of situs inversus totalis patients underwent laparoscopic cholecystectomy

作　　者：曹葆强[1] 龚仁华[1] 王伟[1,2] 李雷 李宗寅 

机构地区：[1]武警安徽省总队医院普外三科,合肥230061 [2]安徽中医药大学研究生院

出　　处：《肝胆外科杂志》2015年第6期438-441,共4页Journal of Hepatobiliary Surgery

基　　金：安徽省自然科学基金项目(No.090413255);安徽省博士后研究人员科研活动经费资助部(省)重点项目(皖人社秘【2010】460号)

摘　　要：目的探讨全内脏反位胆囊结石的腹腔镜手术技巧。方法回顾性分析本院8例全内脏反位胆囊结石患者的腹腔镜手术资料,手术均采用与普通腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)完全相反的四孔法完成。结果 8例全内脏反位的腹腔镜胆囊切除手术顺利,无一例中转开腹。手术时间未明显提高。术后患者生命体征平稳,未出现胆漏、肠瘘、出血等并发症,术后6~7天拆线出院。结论明确诊断,完善准备,转变普通腹腔镜胆囊切除术的手术思维和改良操作技巧,对全内脏反位胆囊结石患者行腹腔镜胆囊切除是安全、可行的。Objective To evaluate the operation technique of situs inversus totalis patients through laparoscopic cholecystectomy( LC). Methods 8 cases of situs inversus totalis patients who underwent LC were studied retrospectively,and they were finished by four trocars which were opposite to the common LC. Results All of LC were successfully completed without bile leakage,intestinal fistula and hemorrhage after operation. No case was converted to open surgery as well as prolonged operation time. All patients were recovered well and 6 to 7 days after discharged. Conclusion If situs inversus totalis patients were clear diagnosed and perfect prepared before LC,with operation thought and improved operation skills of the transformation of ordinary laparoscopic cholecystectomy,they can be operated safe and feasible.

关 键 词：腹腔镜胆囊切除术 全内脏反位 手术技巧 

分 类 号：R657.42[医药卫生—外科学]