低压辅助悬吊式腹腔镜胆囊切除术在肥胖患者中的应用

Application of low-pressure pneumoperitoneum aided suspended laparoscopic cholecystectomy for fat patients

目的:探讨低压辅助悬吊式腹腔镜胆囊切除术在肥胖患者中的应用。方法:回顾分析2008年8月至2009年8月为近期未发作的胆囊结石、急性胆囊炎或慢性胆囊炎急性发作不超过72h,BMI指数>25的136例患者行腹腔镜手术的临床资料,将其随机分为CO2气腹组(n=60,对照组)和低压辅助组(n=76,实验组)。结果:136例均顺利完成手术,成功率100%,无血管损伤、脏器穿孔、胆道损伤、胆漏等并发症发生及中转开腹。手术时间两组差异无统计学意义。结论:低压辅助悬吊式腹腔镜胆囊切除术安全可行,效果与气腹腹腔镜胆囊切除术相同。

Objective：To investigate the application of low-pressure pneumoperitoneum aided suspended laparoscopic cholecystectomy for fat patients.Methods：The retrospective analysis was made on the clinical data of 136 patients,who suffered from stable cholecystolithiasis,acute cholecystitis or chronic cholecystitis with acute attack in 72 hours,and the Body Mass Index over 25,from Aug.2008 to Aug.2009.The patients were randomly divided into CO2 pneumoperitoneum group（n=60,control group）,and low pressure pneumoperitoneum aided group（n=76,test group）,and underwent laparoscopic operation.Results：All the patients were operated successfully,and the success rate was 100%,without conversion to laparotomy or complications,such as vessel injury,viscera perforation,bile duct injury or bile leakage.Time of the operations was not significantly different between the two groups.Conclusions：Compared with gas laparoscopic cholecystectomy,low-pressure pneumoperitoneum aided suspended laparoscopic cholecystectomy is a safe and feasible approach with similar effect.