[1]任怀珍,韩东峰,武如芳,等.腹腔镜胆囊切除术治疗急性结石嵌顿性胆囊炎[J].中国微创外科杂志,2009,09(7):605-612.
　Ren Huaizhen*,Han Dongfeng*,Wu Rufang,et al.Laparoscopic Cholecystectomy for Acute Cholecystitis Complicated with Incarcerated Gallstones[J].Chinese Journal of Minimally Invasive Surgery,2009,09(7):605-612.
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腹腔镜胆囊切除术治疗急性结石嵌顿性胆囊炎()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
09
期数:
2009年7期
页码:
605-612
栏目:
出版日期:
2009-08-25

文章信息/Info

Title:
Laparoscopic Cholecystectomy for Acute Cholecystitis Complicated with Incarcerated Gallstones
作者:
任怀珍; 韩东峰; 武如芳; 张昆鹏
邢台市人民医院肝胆外科，邢台054001
Author(s):
Ren Huaizhen*;  Han Dongfeng*;  Wu Rufang;  et al.
*Department of Hepatobiliary Surgery, Xingtai People’s Hospital, Xingtai 054001, China
关键词:
急性胆囊炎; 腹腔镜胆囊切除术; 结石嵌顿
Keywords:
Acute cholecystitis; Laparoscopic cholecystectomy; Incarcerated gallstones
分类号:
R657.4
文献标志码:
A
摘要:
目的探讨腹腔镜胆囊切除术（laparoscopic cholecystectomy, LC）治疗急性结石嵌顿性胆囊炎的可行性和价值。方法2005年1月～2007年12月71例急性结石嵌顿性胆囊炎全麻下行四孔法LC，分别处理胆囊动脉和胆囊管,若胆囊管增宽则先结扎再切断,撑开状态下电灼肝床边缘,术后放置肝下引流。结果67例（94.4%）成功完成LC，4例（56%）中转开腹（68例病程3 d以内，中转开腹2例；3例病程3 d以上，中转开腹2例）。无胆管损伤，无死亡。术后住院2～6 d，平均3 d。71例术后随访半年无手术并发症。结论随着手术熟练程度及手术技巧的提高，LC治疗急性结石嵌顿性胆囊炎安全、可行。
Abstract:
ObjectiveTo explore the feasibility and value of laparoscopic cholecystectomy (LC) for acute cholecystitis complicated with incarcerated gallstones.MethodsFrom January 2005 to December 2007, 71 patients with acute cholecystitis complicated with incarcerated gallstones received laparoscopic cholecystectomy by using four trocars in our hospital. The Arteria cystica and ductus cysticus were operated successively. For widened ductus cysticus, we ligated the duct first and then cut it off. Afterwards, the wound on the liver bed and its margin were electrocoagulated. After the operation, a drainage tube was placed under the liver.ResultsOf the patients, the LC were successfully completed in 67 cases (94.4%), 4 cases were converted to open surgery (2 of them had a disease course of less then 3 days, and one over 3 days). No biliary injury or death occurred in this series. The patients were discharged from hospital in 2－6 days (mean, 3 days). No complication was found during a 6month followup.ConclusionsWith the improvement of operator’s proficiency and skills, LC becomes feasible and safe for acute cholecystitis complicated with incarcerated gallstones.

参考文献/References:

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备注/Memo

备注/Memo:
武如芳(河北省刑台县普通外科,刑台054000)
更新日期/Last Update: 2013-09-17