摘要
目的探讨不解剖Calot三角的腹腔镜胆囊大部切除术降低中转开腹率的安全性和临床价值。方法对我科在1998年1月-2009年1月43例不解剖Calot三角的腹腔镜胆囊大部切除的临床资料进行回顾性分析。结果43例患者中萎缩性胆囊炎8例,慢性胆囊炎急性发作32例,急性胆囊炎3例。其中29例术后腹腔引流管无胆汁引出,10例于5天内拔除腹腔引流管,3例术后7天拔除引流管,1例拔管时间延迟到术后14天。全部病例均痊愈出院,经至少6个月随访,未发现并发症。结论该术式用于Calot三角解剖困难的病例能够显著降低中转开腹率,临床应用安全。
Objective To investigate the safety and clinical value of（LPC）without dissecting Calot triangle in decreasing conversion rate of difficult cases.Method The clinical data of 43 cases received laparoscopic subtotal cholecystectomy without Calot triangle were analyzed retrospectively.Results Among them,8 cases were diagnosed as atrophic cholecystitis,32 chronic cholecystitis with acute attack,3 acute cholecystitis.No bile was drainaged in 29 cases,Abdominal drainage were removed within 5 days after operation in 10 cases,7 days in 3 and 14 days in 1.All cases were cured to discharge from hospital.Follow up for at least 6 months,no complications were found.Conclusions This procedure is safe and can effectively decrease the rate of open operation in the use of cases of difficult laparoscopic cholecystitis.
出处
《岭南现代临床外科》
2010年第1期31-32,共2页
Lingnan Modern Clinics in Surgery
关键词
腹腔镜
胆囊大部切除术
胆囊炎
Laparoscopy
Partial cholecystectomy
Cholecystitis
