摘要
本文报告我院近2年235例嵌顿性胆囊结石的腹腔镜手术治疗经验,研究了急性和慢性嵌顿性胆囊结石的诊断、分型和处理方法。全组慢性嵌顿性胆囊结石221例,急性嵌顿性胆囊结石14例,占同期腹腔镜胆囊切除术总数(1475例)的15.9%。9例中转开腹手术,其中7例为胆囊周围或calot三角严重粘连,1例为急性坏疽性胆囊炎、1例为结石嵌顿于胆囊管与肝总管交界部,中转开腹率3.8%。术后并发胆瘘2例,经引流自行愈合,全组无腹腔感染及死亡。
Abstract During the past 2 years,235 cases of cholecvstitiswith impacted gallstones were treated with laparoscop-ic technique. There were 221 chronic cases and 14 a-cute cases accounting altogether for 1 5.19%of a totalof 1475 patients undergoing laparoscopic cholecystec-tomy during the same period.As a result, 9 of thesepatients were converted to open surgery.Severe adhe-sion around the gallbladder or/and in the Calot trianglein 7,acute impacted gallstone,gallbladder necrosis a-long with obscure anatomy in the calot triangle in 1,and gallstone impacted at the junction of the commonhepatic and cystic duct in 1 were observed.Conversionrate was 3.8%. Postoperative bile leakage developedin 2 cases and healed spantaneously.There were no in-traperitoneal sepsis and perioperative death in our pat-ints. The diagnosis,classification,and managementfor acute or chronic impacted gallstone are discussed.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1994年第4期227-229,共3页
Chinese Journal of Surgery