三戳孔腹外牵拉胆囊腹腔镜胆囊切除术

Laparoscopic cholecystectomy(LC) with three holes and external abdominal traction of the gallbladder by a thread.

目的 探索创伤更小显露更好的腹腔镜胆囊切除的方法。 方法 在行三孔腹腔镜胆囊切除术时 ,用圆直针七号线经右侧第八肋间穿入腹腔 ,缝扎胆囊底 ,在腹外牵拉胆囊 ,帮助暴露手术野。以此法行LC 90例 结果 全部手术经过均顺利 ,术后恢复良好 ,无并发症。 结论 三戳孔腹外牵拉腹腔镜胆囊切除术比常规腹腔镜胆囊切除术损伤更小 ,暴露更清楚 ,只要两名手术者就可完成手术。

Objective To look for a method of LC with minimal invasion and better exposure. Methods During laparoscopic cholecystectomy with three holes, a needle with a No.7 thread was pierced to the abdominal cavity at the right eighth intercostal space and the fundus of the gallbladder was sutured. The gallbladder traction was performed by the thread to help exposure of the operative filed. LC of 90 cases were operated on by the method. Results All of the 90 cases were cured without any complication. Conclusions External abdominal gallbladder traction is more effective with minimal invision and better exposure as compared with the routine LC.