逆行胆囊切除术在腹腔镜胆囊切除术中的应用

Retrograde Cholecystectomy in Laparoscopic Cholecystectomy

目的 探讨逆行胆囊切除术在腹腔镜胆囊切除术（laparoscopic cholecystectomy,LC）中的应用价值.方法 2008年10月～2012年8月,对67例LC因胆囊三角区解剖结构不清,不易分离者,从胆囊底部开始逆行切除胆囊术.结果 67例LC均获成功,无一例中转开腹.手术时间（73.7±9.6）min,术中出血（35.2±13.7）ml.67例随访12～18个月,平均14个月,恢复良好,无腹痛、腹胀及其他并发症发生.结论 在LC中对于Calot三角区解剖不清者采用逆行胆囊切除术安全可行.

Objective To investigate the application value of retrograde cholecysteetomy in laparoscopic cholecystectomy （ LC）. Methods From October 2008 to August 2012, we performed retrograde cholecystectomy from the bottom of the gallbladder on 67 cases during LC due to unclear anatomy of Calot＇ s triangle leading to separating difficultly. Results All the 67 surgeries were performed successfully without conversion to laparotomy. The operation time was （73.7：1： 9.6） min and intraoperative blood loss was （35.2 ＋ 13.7） ml. The 67 patients were followed up for 12 to 18 months （average, 14 months） and all patients recovered well. No abdominal pain, abdominal distension or other complications occurred. Conclusion Retrograde cholecystectomy is safe and feasible for patients with unclear anatomy of Calot＇ s triangle.