摘要
目的探讨腹腔镜下安全、有效的解剖胆囊管的方法。方法2002年12月~2005年12月,我院采用胆囊管逆行分离法解剖胆囊管行1460例腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)。结果顺利完成LC 1442例,手术时间15~100min,平均42min。中转开腹18例(1.23%),胆管损伤5例(0.34%),腹腔出血3例(0.21%),胆漏3例(0.21%)。随访2~24个月,平均11.8月,胆总管残余结石2例。结论胆囊管逆行分离法解剖胆囊管行LC是一种安全、容易掌握的手术方法。
Objective To study a safe and effective method for the dissection of the cystic duct under laparoscope. Methods Laparoscopic cholecystectomy was performed in 1 460 cases, by using the retrograde dissection of the cystic duct, from December 2002 to December 2005 in this hospital. Results The laparoscopic cholecystectomy was successfully completed in 1 442 cases, with an operation time of 15~100 min (mean, 42 min). A conversion to open surgery was required in 18 cases (1.23%). Complications included 5 cases of bile duct injury (0.34%), 3 cases of intrasbdominal hemorrhage (0.21%), and 3 cases of biliary leakage (0.21%). Follow-up for 2~24 months (mean, 11.8 months) found 2 cases of residual calculi in the common bile duct. Conclusions The retrograde dissection of the cystic duct during laparoscopic cholecystectomy is a safe method and simple to perform.
出处
《中国微创外科杂志》
CSCD
2006年第10期759-760,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
胆囊管逆行分离法
腹腔镜胆囊切除术
Retrograde dissection of the cystic duct
Laparoscopic cholecystectomy