小切口胆囊切除术10150例临床报告

Clinical Study of Minicholecystectomy: Report of 10 150 Cases

目的:报告小切口胆囊切除术的手术方法。方法:分析自1991年4月至2006年2月10 150例小切口胆囊切除术的应用情况,介绍两点关键技术,即自制深部打结器和缝扎胆囊三角系膜技术。结果:全组小切口手术成功9 785例(96.4%),延长切口365例(3.6%)。严重并发症有:胆管损伤12例(0.12%),横结肠损伤4例(0.04%),术中大出血8例(0.08%),漏胆25例(0.25%),死亡4例(0.04%)。结论:在传统胆囊切除术熟练的基础上开展小切口胆囊切除术是安全可行的。

Objective： To report the methods of operation for minicholeeysteetomy. Methods： The clinical application of 10150 minicholecystectomy cases from April 1991 to February 21306 was analysed. Two techniques were introduced： selfmade deep knotter and suturing bind of gallbladder calot. Results： The 9785 cases（96.4% ）were cured with minicholecystectomy, 365 cases（3.6% ）incision lengthened. Serious complications： 12 cases（0. 12% ）of bile duct injury, 4 case （ 0. 04% ） of Colon injury, 8 cases （0. 08% ） of massive haemorrhage, 25 cases （0.25%）of leak bile, 4 cases（0.04% ）of died. Condusions：On the basis of skillfully operate the conventional cholecystectomy could be safely performed with minicholecystectomy.