中国现代手术学杂志2017，Vol.21Issue(5)：337-339,3.DOI:10.16260/j.cnki.1009-2188.2017.05.004
腹腔镜下复杂胆囊切除术119例临床分析
Clinical Analysis on Complex Laparoscopic Cholecystectomy:119 Cases Report
周后平 1宋新 1姚本能 1周旅1
作者信息
- 1. 湘西自治州人民医院(吉首大学第一附属医院)肝胆外科,湖南吉首416000
- 折叠
摘要
Abstract
Objective To explore the management of laparoscopic cholecystectomy(LC)in complicated cases. Methods The clinical data of 119 patients performed difficult LC were retrospectively analyzed,in-cluding 55 of cholecystolithiasis combined with acute suppurative cholecystitis,20 of gangrenous cholecystitis, 12 of perforation of gallbladder,27 of atrophic cholecystitis and 5 of residual gallbladder removal. 35 cases had abdominal surgery history. The aspirator and dry gauze were used during the operation. Results All 119 ca-ses were accomplished the LC successfully without conversion to open surgery. The operative time was 45 to 220 minutes with an average of 75 minutes. No associated postoperative complications such as hemorrhage and blad-der leakage occurred during 1 to 3 months follow-up. The drainage tube was pulled out 1 to 3 days after ultra-sonic exam. Conclusions LC is safe and effective for complex cholecystectomy patients. The surgical process can be simplified by skilled application of aspirator and dry gauze.关键词
胆囊切除术,腹腔镜/吸引器/外科纱布Key words
cholecystectomy,laparoscopic/aspirator/surgicalb sponges分类
医药卫生引用本文复制引用
周后平,宋新,姚本能,周旅..腹腔镜下复杂胆囊切除术119例临床分析[J].中国现代手术学杂志,2017,21(5):337-339,3.
