超声刀生物夹在腹腔镜胆囊切除术中的应用

Laparoscopic Cholecystectomy with Biological Forceps and Ultrasonic Scalpel

目的探讨腹腔镜胆囊切除术(LC)中应用超声刀及生物夹的安全性和可靠性。方法对203例患者行LC术中采用超声刀生物夹的临床资料进行回顾性分析。结果 203例患者胆囊管均一次结扎、凝断成功,无中转开腹病例。所有患者术后无胆囊管残端胆漏及出血等并发症,术后无需止痛处理,住院时间3～4d,均痊愈出院。结论 LC术中生物夹结扎胆囊管,继以超声刀凝断胆囊管和胆囊动脉,安全、可靠,能避免体内金属异物残留。

Objective To explore the safety and security of laparoscopic cholecystectomy with biological forceps and ultrasonic scalpel.Methods The clinical data of 203 patients who underwent laparoscopic cholecystectomy with biological forceps and ultrasonic scalpel were retrospectively analyzed.Results Cystic duct was successfully blocked at a time in all patients.No patients underwent open laparotomy and had bile leakage from cystic duct stump,bleeding and other complications.All patients were discharged from hospital 3-4 days after operation and did not need additional treatment for postoperative pain.Conclusion Blocking cystic duct with biological forceps followed by interrupting cystic duct and cystic artery with ultrasonic scalpel is safe and reliable for laparoscopic cholecystectomy and can avoid retaining metal foreign body.