冲吸钝性解剖法在急性胆囊炎行腹腔镜胆囊切除术中的应用

Experience of laparoscopic cholecystectomy with blunt dissection to solve severe cholecystitis

目的探讨冲吸钝性解剖法在急性胆囊炎行腹腔镜胆囊切除术(LC)中的应用价值。方法回顾性分析运用冲吸钝性解剖法完成急性胆囊炎LC的28例患者临床资料。结果所有病人均顺利完成手术,无中转开腹。术中、术后无胆道损伤、胆漏等严重并发症发生。结论冲吸钝性解剖法在腹腔镜胆囊切除术治疗急性胆囊炎中的应用是安全可行的。

Objective To evaluate an effective method in laparoscopic cholecysteetomy for severe cholecystitis. Methods Laparoseopic cholecystectomy was performed on 28 cases with severe cholecystitis executed primarily by blunt dissection.Date from 28 cases were retrospectively analyzed. Results No case was converted to open procedure. There was no occurrence of leakage and bile duet injury in procedure. Conclusions Blunt dissection is a safe, effective technique performed in laparoscopic cholecystectomy for the patients with severe choleeystitis.