摘要
目的总结腹腔镜胆囊切除术治疗胆囊颈部结石嵌顿的经验。方法2001年1月～2008年11月对胆囊颈部结石嵌顿58例采用四孔法和冲吸钝性解剖法行LC。结果47例成功完成LC,9例中转剖腹,原因:一例胆道损伤,一例出血,其它均为胆囊三角解剖不清。术后两例胆漏。术后未发生腹腔内出血,肝下积液等并发症。56例痊愈出院。结论腹腔镜手术治疗胆囊颈部结石嵌顿要掌握好手术时机和适应症,采用充分暴露胆囊三角区,辨清三管关系并把握好中转剖腹手术的时机。
Objective To summarize the experience of treatment for calculus incarcerated in neck of gallbladder for LC. Methods 58 cases of calculus incarcerated in neck of gallbladder were treated with LC in our hospital from Jan. 2001 to Nov. 2008. Results 47 cases were treated with LC successfully and 9 cases were converted to open procedure. Biliary leakage happened in 2 case and was cured with indwelling abdominal drainage. No patients were complicated with postoperative cured. Conclusions LC is a safe and feasible means for calculus incarcerated in neck of gallbladder, but perfect techniques of laparoscopic procedure are crucial factor to complicated LC.
出处
《肝胆外科杂志》
2009年第4期288-289,共2页
Journal of Hepatobiliary Surgery
关键词
腹腔镜胆囊切除术
结石嵌顿
laparoscopic cholecystectomy
caluli incarcerate
