开腹胆囊切除术和腹腔镜胆囊切除术与Calot三角

Operative Cholecystectomy(OC)and Laparoscopy Cholecystectomy(LC) and Their Relationship to Calot Triangle

目的 :探讨OC及LC与Calot三角的关系。方法 :回顾分析 4 0 0 0例OC及 5 0 0例LC的临床资料。结果 :4 0 0 0例OC中发生胆囊动脉出血 2 0例 ,占 0 5 % ,门静脉损伤大出血 2例 ,占 0 0 5 % ,死亡 1例。胆道损伤 2例 ,占 0 0 5 %。 5 0 0例LC胆囊动脉出血 10例 ,占 2 % ,胆总管横断伤 1例 ,占 0 2 %。结论 :无论是OC或LC避免胆囊动脉出血、门静脉损伤大出血、胆道损伤 ,关键在于对Calot三角的正确解剖。

Objective： To investigate tile relationship of OC and LC with Calot triangle. Methods： Retrospective analysis of 4000 OC anti 500LC. Results： In 4000 OC, 20 eases had eholeeystie artery hemorrhage, about 0.5%, 2 had hemorrhage of portal injury, about 0.05%, and 1 dead. Two were injury of biliary tract, about 0.05%. In 500 LC, 10 had eholecvstie artelT hemorrhage, about 2% , and 1 had crosecut injury of common bile duet, about 0.2% . Conclusions： No matter OC and LC the accurate anatomy of the Calot triangle was the key to avoid hemorrhage of cholecystie artery and portal injury and biliary tract.