腹腔镜联合手术21例报告

Combined laparoscopic surgery.(A peport of 21 Cases)

目的 探讨腹腔镜联合手术的优势及其适应证。 方法 自 1992年 5月至 2 0 0 2年 2月开展腹腔镜手术 4 88例中 2 1例联合手术 ,其中腹腔镜胆总管切开取石与胆囊切除 7例 ;腹腔镜肝囊肿开窗引流与胆囊切除术 4例 ;腹腔镜胆囊切除与阑尾切除 4例 ;腹腔镜胆囊切除与腹腔镜辅助脾切除 2例 ;腹腔镜假性胰腺囊肿切除与胆囊切除 1例 ;腹腔镜胆总管切开取石与胆囊切除与右肾囊肿开窗引流 1例 ;腹腔镜右卵巢囊肿切除与胆囊切除 1例 ;腹腔镜胆囊切除与边缘型小肝癌切除 1例。 结果 2 1例均顺利完成联合手术 ,无并发症。 结论 腹腔镜联合手术拓宽了腹腔镜手术领域。

Objective To investigate the advantages and indications of combined laparoscopic surgery(CLS). Method 488 casesof laparoscopic procedures were given from May 1992 to February 2002.Among them 21 were CLS.Laparoscopic common bile duct exploration (LCBDE)+Laparoscopic cholecystectomy(LC)(7);Laparoscopic fenestration of liver syst+LC(4),LC+Laparoscopic appendectomy(4);LC+hand-assisted laparoscopic splenectomy(2);laparoscopic cystectomy for pancreatic pseudocyst+LC (1);LCBD+LC+Laparoscopic fenestration of right renal cyst(1)and LC+laparoscopic partial hepatectomy for small liver cancer(1). Results The combined procedures were succesful in all the 21 cases with no complications. Conclusions CLS has expanded the field of laparoscopy and advantages of minimally invasive nature and indications should be strictly choosen for the procedure.