[1]钟立明　 叶建宇　 彭毅　 周汉新.腹腔镜胆囊大部分切除术在复杂胆囊手术中的应用[J].中国微创外科杂志,2002,02(4):260-261.
　Zhong Liming,Ye Jianyu,Peng Yi,et al.The application of laparoscopic subtotal cholecystectomy in complicated cholecystectomy[J].Chinese Journal of Minimally Invasive Surgery,2002,02(4):260-261.
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腹腔镜胆囊大部分切除术在复杂胆囊手术中的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
02
期数:
2002年4期
页码:
260-261
栏目:
经验交流
出版日期:
2002-08-31

文章信息/Info

Title:
The application of laparoscopic subtotal cholecystectomy in complicated cholecystectomy
作者:
钟立明　 叶建宇　 彭毅　 周汉新
北京大学深圳医院腔镜外科中心,深圳,518036
Author(s):
Zhong Liming; Ye Jianyu; Peng Yi; et al.
Surgical Endscopic Center,Peking University ShenzhenHospital,Shenzhen518036,China
关键词:
腹腔镜 胆囊大部分切除术 复杂胆囊手术
Keywords:
Laparoscopy　Subtotal cholecystectomy　Complicated cholecystectomy
分类号:
R657.4
文献标志码:
B
摘要:
目的探讨胆囊大部分切除在复杂腹腔镜胆囊切除术中应用的可行性及安全性. 方法对1999～2001年施行的26例腹腔镜胆囊大部分切除术的方法、手术疗效及并发症进行了回顾分析.手术指征为化脓性胆囊炎、Mirris综合征Ⅰ型、Calot三角"冰冻样"改变、萎缩性胆囊炎、胆囊床与肝脏瘢痕样致密粘连等. 结果手术时间为(51±16.5)分钟,开始下床活动时间(11±4.3)小时,开始进食时间(22±8.5)小时,住院时间(4.5±1.5)天,术后胆漏2例,均经保守治疗治愈.随访6月～25月,未见与手术有关的并发症. 结论在困难胆囊手术中,腹腔镜胆囊部分切除术可简化手术,降低手术风险,可收到胆囊造瘘与标准胆囊切除相结合的疗效.
Abstract:
Objective　To study the possibility and safty of laparoscopic partial cholecystectomy in difficult cholecystectomy.　Methods　The operative procedures,efficaey and complications of 26 laparoscopic partial chole- cystectomy between 1999 and 2001 were reviewed retrospectively.The operative indications were empyema cholecysti- tis, Mirris syndromeⅠtype,frozen Calot’s triangle,shrunken gallbladder.　Results　operative time was (51±16·5) minutes;The time to recovey activitywas (11±4·3) hours;food-intake began (22±8·5) hours after operation; The hospital stay was (4·5±1·5) days;bile leakage after operation was found in 2 cases and recovered after conservative management.Following-up period lasting 6 to 25 months showed no complecations occurred.　Conclusions　Lapa- roscopic subtotal cholecystectomymay simplify the operation and decrease the risk in difficult cholecystectomy,and can get the therapeutic result of cholecystomy combined with standard cholecystectomy.

参考文献/References:

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［3］夏穗生,黄延庭,石景森,等. 胆囊大部分切除术的适应证和技术要求. 中华肝胆外科杂志,2001,7:307-308.
［4］Subramaniasivam N, Ananthakrishnan N, Kate V, et al.Partial cholecystectomy in elective and emergency gall bladder surgery in the high risk patients-a viable and safe option in the era of laparoscopic surgery.Trop Gastroenterol,1996,17:49-52.
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更新日期/Last Update: 2014-07-31