三孔免钛夹腹腔镜胆囊切除术的临床研究

Clinical study on three-port laparoscopic cholecystectomy without titanium clip

目的:探讨三孔免钛夹腹腔镜胆囊切除术的可行性。方法:回顾性分析865例三孔免钛夹腹腔镜胆囊切除术。结果:成功完成三孔免钛夹腹腔镜胆囊切除术810例,成功率93.6%,平均手术时间51.6min,术中平均出血量33.8ml,平均住院时间3.2d,未发生大出血、胆管损伤、术后胆汁漏等并发症。术中改为四孔法53例(6.1%),中转开腹手术2例(0.2%)。结论:三孔免钛夹腹腔镜胆囊切除术更加具有微创性,且能避免使用钛夹所致的并发症,手术安全可行。

Objective： To evaluate the feasibility of three-port laparoscopic cholecystectomy （LC） without titanium clip. Methods： 865 patients who underwent three-port LC without titanium clip were studied retrospectively. Results： 810 cases （93.6%） of them were performed successfully under three-port LC without titanium clip, 53 cases were converted to four-port LC and 2 cases were converted to open cholecystectomy. The average operative time was 51.6 min, the average operative blood loss was 33.8 ml and postoperative hospital stay was 3.2 days in patients with three-port LC without titanium clip. There was no operative complications,such as hemorrhage,injury of bile duct and bile leakage. Conclusion： Three- port LC without titanium clip is a safe and feasible surgical procedure with more mini-invasine surgery and no retained intra-abdominal titanium clip.