腹腔粘连胆囊结石患者行腹腔镜胆囊切除术的体会

Experience of laparoscopic cholecystectomy for patients with cholecystolithiasis and abdominal cavity adhesions

目的:探讨腹腔粘连的胆囊结石患者行腹腔镜胆囊切除术(laparoscop ic cholecystectomy,LC)的可行性及特点。方法:回顾分析30例腹腔粘连的胆囊结石患者行LC的临床资料及治疗结果,用开放法穿刺Trocar,分离粘连,显露胆囊及Calot三角,切除胆囊。结果:28例LC成功,效果良好,2例中转开腹。无出血、内脏损伤、胆漏和胆道损伤等并发症发生。平均手术时间65m in,平均住院6d。结论:只要术者具有丰富的经验和熟练的操作技术,腹腔粘连的胆囊结石患者行LC是安全可行的。

Objective：To explore the feasibility and characteristics of laparoscopic cholecystectomy（LC） for patients with cholecystolithiasis and abdominal cavity adhesions.Methods：The clinical data and treatment outcome of 30 patients with cholecystolithiasis and abdominal cavity adhesions who underwent LC were retrospectively analyzed.Trocar was openly punctured,adhesions were separated,the gallbladder and Calot＇s triangle were fully exposed,and cholecyst was routinely resected.Results：Twenty-eight patients were successfully operated,the effects were favorable.2 cases were converted to open surgery.No complications were found,such as hemorrhage,visceral injury,bile leakage or bile duct injury.The average operating time and hospitalization time were 65min and 6d,respectively.Conclusions：LC for patients with cholecystolithiasis and abdominal cavity adhesions is safe and effective,as long as operators have abundant experience and perfect technique.