腹部复杂粘连腹腔镜胆囊切除术12例分析

Laparoscopic cholecystectomy for 12 patients with complex abdominal adhesion

目的分析12例因腹部多次手术造成腹腔复杂粘连的患者行腹腔镜胆囊切除术的安全性、可行性。方法回顾性分析研究12例多次腹部手术后腹部复杂粘连腹腔镜胆囊切除患者的临床资料。结果12例患者中，11例顺利完成腹腔镜胆囊切除术，1例中转开腹。手术时间33～108min，平均（59．3±17．2）min。术中使用3～6个Troear。术后住院时间3～8d，平均（4．2±1．5）d。所有患者随访6个月，均未出现出血、胆漏、胆管损伤等并发症。结论多次腹部手术后腹腔复杂粘连患者行腹腔镜胆囊切除术安全、可行，患者创伤小、术后恢复快。

Objective Evaluate the feasibility and safety of laparoscopic cholecystectomy( LC) for12 patients with complex abdominal adhesion due to multiple previous surgeries. Methods 12 patients who had undergone multiple different kinds of abdominal surgeries were given LC and the data of all the patients were reviewed. Results LC were successfully performed in 11 of the 12 patients. 1 patient was converted to open cholecystectomy. The operative time was 33-108 minutes( mean 59. 3 ± 17. 2). 3-6 Trocars were used for the operation. Patients were discharged after 3-8 days( mean 4. 2 ± 1. 5). All patients who were followed up for 6 months had no bleeding,bile leakage,bile duct injury and any other complications. Conclusions As the advantages of small trauma and faster postoperative recovery,LC was safe and feasible for patients with complex abdominal adhesion due to multiple previous surgeries.