三孔长线结扎法腹腔镜胆囊切除术

Laparoscopic cholecystectomy using long suture ligation through three port

目的总结采用三孔长线结扎法行腹腔镜胆囊切除术(Laparoscopic cholecystectomy,LC)的临床经验。方法回顾性分析在2014年4月~2015年8月对69例胆囊炎患者采用三孔长线结扎法行LC的临床资料。结果所有患者均成功完成了LC,体内无钛夹残留,有3例改为四孔法(4.3%),有1例分离胆囊动脉时撕裂肝总管,予缝合。所有患者均无继发出血、胆漏等并发症。结论三孔长线结扎法行LC是安全、有效的,避免了体内钛夹残留,可供有经验医师采用。

Objective To summarize the experience of laparoscopic cholecystectomy using long suture ligation through three port. Methods Clinical records of 69 cases of cholecystitis treated by Lc using long suture ligation through three port from April 2014 to August 2015 were respectively reviewed. Results LC was successfully accomplished in all patients without titanium clip in the body. There were three patients instead of four port method( 4. 3%),One patient occured Hepatic duct tear when separated the gallbladder artery,but had to be stitched. No patients were complicated with postoperative hemorrhage,bile leakage,etc. Conclusion LC using long suture ligation through three port is a safe and effective method without titanium clip in the body,which can be used in the experienced doctors.