临床肝胆病杂志Issue(11)：1138-1139,2.DOI:10.3969/j.issn.1001-5256.2014.11.011
胆囊后-前三角解剖法在腹腔镜胆囊切除术中的应用
Clinical application of posterior-anterior cystohepatic triangle dissection in laparoscopic cholecystectomy
刘文松 1朱峰 1杨波 1陈学敏 1孙冬林1
作者信息
- 1. 苏州大学附属第三医院 肝胆外科，江苏 常州213003
- 折叠
摘要
Abstract
Objective To investigate the value and clinical application of posterior-anterior cystohepatic triangle dissection in laparoscopic cholecystectomy (LC).Methods The medical records of 250 patients who underwent LC were reviewed.The clinical data,including oper-ating time,amount of bleeding,and surgical complications,were retrospectively analyzed.Results LC was successfully completed in 246 cases.The operating time ranged from 25 min to 120 min,with a mean of 42 min.The amount of bleeding ranged from 5 ml to 80 ml,with a mean of 20 ml.Two cases were converted to open surgery due to gastric carcinoma or cholecystocolonic fistula,and 2 cases underwent lap-aroscopic common bile duct exploration.There was no report of severe complications in the entire group,such as abdominal hemorrhage,bile leakage,and biliary stricture.Conclusion With proper identification of the anatomical structure,it is safe and feasible to perform LC by dissection of the posterior-anterior cystohepatic triangle,which effectively helps avoid hemorrhage and bile duct injury during operation.关键词
胆囊切除术,腹腔镜/Calot三角Key words
cholecystectomy,laparoscopic/calot′s triangle分类
医药卫生引用本文复制引用
刘文松,朱峰,杨波,陈学敏,孙冬林..胆囊后-前三角解剖法在腹腔镜胆囊切除术中的应用[J].临床肝胆病杂志,2014,(11):1138-1139,2.
