腹腔镜外科杂志2012，Vol.17Issue(10)：775-777,3.
贴壶腹钝性分离法在冰冻Calot三角腹腔镜胆囊切除术中的应用
The application of blunt separation sticking to the ampullae in laparoscopic cholecystectomy with frozen Calot triangle
程智礼 1顾炯 1孙玉年 1彭泉 1史多琦1
作者信息
- 1. 解放军第一零五医院,安徽合肥,230031
- 折叠
摘要
Abstract
Objective: To explore the application value of blunt separation sticking to the ampullae in laparoscopic cholecystectomy with frozen Calot triangle. Methods:The clinical data of 136 cases who underwent laparoscopic cholecystectomy (L.C) with frozen Calot triangle from Arp. 2006 to Arp. 2012 were retrospectively analyzed. Results:LC was successfully completed in 126 cases,and the mean operative time was 52.1 min (40-95 min). Light red or yellow exudates were drained out with the mean amount of 62 ml/d (30-120 ml/d). The drainage tube was excluded in 1-4 d with an average of 2 d. The time to get out of bed and take food was in the first day after surgery,same as the normal LC.The mean postoperative hospital stay was 5 d (4-7 d). No extrahepatic bile duct injury or death occurred. Light bile leakage occurred in 3 cases (2. 20% ) and was cured by conservative treatment. Laparotomy was performed again in 2 (1.47%) cases of unexpected gallbladder carcinoma and 3(2.20% ) residual stones in the cystic duct. Five (3.68%) cases were converted to laparotomy for incarcerated gallstones and broken gallbladder. All case recovered well. Conclusions: The application of blunt separation sticking to the ampullae could prevent bile duct injury and decrease laparotomy in cases of frozen Calot triangle, which extends the indications of LC and is worth to be popularized by the experienced surgeons.关键词
胆管损伤/胆囊切除术,腹腔镜/Calot三角/钝性分离法Key words
Bile duct injury/Cholecystectomy,Laparoscopy/Calot triangle/Blunt separation分类
医药卫生引用本文复制引用
程智礼,顾炯,孙玉年,彭泉,史多琦..贴壶腹钝性分离法在冰冻Calot三角腹腔镜胆囊切除术中的应用[J].腹腔镜外科杂志,2012,17(10):775-777,3.
