丝线联合钛夹在腹腔镜急性亚急性胆囊切除中的应用

Application of silk thread combined with titanium clip in laparoscopic acute subacute cholecystectomy

目的探讨急性或亚急性胆囊炎胆囊管增粗情况下行腹腔镜胆囊切除术(laparoscopic cholecystectomy, LC)术中处理措施及总结经验。方法回顾性分析2017年8月至2018年8月我院64例急性胆囊炎胆囊管增粗患者行腹腔镜胆囊切除术的临床资料,分为丝线联合钛夹结扎胆囊管33例;只行胆囊管钛夹锁闭31例。对比两组手术时间、术中出血量、术后胃肠功能恢复、住院时间。结果两组手术时间、术中出血量、术后胃肠功能恢复、住院时间比较(P>0.05)两组均无胆漏发生,两组各中转开腹1例。结论在腹腔镜急性胆囊切除术中采用适当的丝线联合钛夹方法处理增粗的胆囊管可顺利完成腹腔镜胆囊切除术,是安全且经济适用的方法。

Objective To investigate the treatment of laparoscopic cholecystectomy(LC)under the condition of cystic duct thickening in acute or subacute cholecystitis and to summarize the experience.Methods The clinical data of 64 cases of acute cholecystitis with cholecystic tube thickening in our hospital from August 2017 to August 2018 were analyzed retrospectively.There were 33 cases with cystic duct and ligated cystic duct Titanium clamp lock in 31 cases.The operative time,intraoperative blood loss,gastrointestinal function recovery,postoperative hospital stay.Results Two cases of operation time,blood loss,gastrointestinal function recovery,postoperative hospital stay(P>0.05),no bile leakage occurred in either group,and one patient underwent laparotomy in two groups.Conclusion In the laparoscopic acute cholecystectomy using appropriate wire combined with titanium clip thickening of the cystic duct tube can be successfully completed laparoscopic cholecystectomy,is affordable,simple and reliable method.