[1]史卫海,戎亚雄,姜丹乾,等.三孔法腹腔镜胆囊切除术的临床应用[J].中国微创外科杂志,2008,08(4):368-369.
　Shi Weihai,Rong Yaxiong,Jiang Danqian,et al.Clinical Experience on Threeport Laparoscopic Cholecystectomy: Report of 364 Cases[J].Chinese Journal of Minimally Invasive Surgery,2008,08(4):368-369.
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三孔法腹腔镜胆囊切除术的临床应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
08
期数:
2008年4期
页码:
368-369
栏目:
出版日期:
2008-10-26

文章信息/Info

Title:
Clinical Experience on Threeport Laparoscopic Cholecystectomy: Report of 364 Cases
作者:
史卫海; 戎亚雄; 姜丹乾; 徐学忠; 孙亚伟
江苏大学附属武进医院普外科，常州213000
Author(s):
Shi Weihai;  Rong Yaxiong;  Jiang Danqian;  et al.
Department of General Surgery, Affiliated Wujin Hospital of Jiangsu University, Changzhou 213000, China
关键词:
腹腔镜胆囊切除术; 三孔法
Keywords:
Laparoscopic cholecystectomy; Threeport
分类号:
R657.4
文献标志码:
A
摘要:
目的探讨三孔法腹腔镜胆囊切除术(laparoscopic cholecystectomy，LC)的可行性。方法2006年4月~2007年4月，对364例急、慢性胆囊良性疾病行三孔法LC。结果均痊愈出院，三孔法LC完成357例，成功率98%。7例因胆囊萎缩、三角区冰冻样变化，致使显露及解剖困难，转为四孔法完成。平均手术时间55 min（30~80 min）。全组无胆管损伤、胆漏、出血等严重并发症。250例三孔法LC术后随访1~13个月，平均5个月，无胆管狭窄及残余小胆囊，无胆总管残余结石。结论在熟练掌握四孔法LC的基础上，采用正确的手术操作方法，开展三孔法LC是安全、有效、可行的。
Abstract:
ObjectiveTo explore the clinical feasibility of threeport laparoscopic cholecystectomy (LC). MethodsFrom April 2006 to April 2007, 364 patients with acute or chronic cholecystitis underwent LC using threeport method. The clinical data of the patients were analyzed retrospectively.ResultsAll of the 364 patients were cured. Threeport LC were completed in 357 of them with a success rate of 98%. Seven patients were converted to fourtrocar LC because of frozen Callot’s triangle and gallbladder atrophy. The operation time was 30-80 min (mean, 55 min). No severe complications including bile duct injury, bile leakage, and hemorrhage, occurred in our patients. Among the patients who were treated with threetrocar LC, 250 were followed up for 1 to 13 months with a mean of 5 months. During the followup, no bile duct stenosis, gallbladder pouch, or residual stones were found.ConclusionThreeport LC is safe, effective, and feasible for patients with cholecystitis, if the surgeons have grasped the techniques of fourport LC.

参考文献/References:

[1]傅贤波.微创概念的新认识.中国微创外科杂志,2002,2(增刊):S42-S44.
[2]Leggett PL,Bissell CD,ChurchmanWinn R,et al.Threeport microlaparoscopic cholecystectomy in 159 patients.Surg Endosc,2001,15(3):293-296.
[3]任天顺,吴德文,田明.后三角入路腹腔镜胆囊切除术.中国微创外科杂志,2004,4(1):45-46.
[4]曹月敏,张万星,谭文科，等.354例腹腔镜胆囊切除术无胆道损伤的体会.中国微创外科杂志,2002,2(1):48-49.

更新日期/Last Update: 2013-10-22