复杂性胆囊腹腔镜下手术56例临床分析

Clinical Analysis of Complex Laparoscopic Cholecystectomy of 56 Cases

目的探讨复杂性胆囊患者腹腔镜胆囊切除术的可行性、安全性。方法回顾性分析我院2005年5月～2010年6月56例复杂性胆囊经腹腔镜手术的临床资料。结果本组56例病例中,46例行腹腔镜胆囊切除术,8例主动中转开腹,2例被动中转。平均手术时间96min。其中出现术后并发症11例,大部分经非手术治疗治愈,二次经腹手术治愈2例。结论熟悉胆囊及胆道解剖变异、血管畸形;全程防范LC下可能出现的并发症及风险;娴熟掌握LC的手术方法、技能;适时果断主动中转。对腹腔镜下复杂性胆囊的手术是可行的,相对安全的。

Objective To explore the feasibility and safety of laparoscopic cholecystectomy in patients with the disease of complex gallbladder. Methods The clinical datas of 56 cases of complex laparoscopic cholecystectomy in our hospital from May 2005 to June 2010 were retrospectively analyzed. Results In 56 cases,46 cases underwent laparoscopic cholecystectomy,8 cases were implemented actively the laparotomy,2 cases were passively transferred. The average operation time was 96 min. Among them 11 cases had postoperative complications,most were cured by non-surgical treatment,2 cases were cured by the second abdominal surgery. Conclusion Being familiar with the anatomic variations of gallbladder and biliary,vascular malformations;preventing the complications and risks that may occur under the LC;mastering adroitly the surgical technique,skills;transferring timely,decisively and passively. The complex laparoscopic gallbladder surgery is feasible and relatively safe.