胆囊切除术_腹腔镜_____胆囊切除术，腹腔镜

腹腔镜胆囊切除术的几点改进

http://www.100md.com 《腹腔镜外科杂志》 1998年第1期

胆囊切除术,腹腔镜,,胆囊切除术，腹腔镜,【关键词】胆囊切除术，腹腔镜,1资料与方法,2结果,3讨论,参考文献：

     【摘要】目的：探讨腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)方法的改进,以更适应于基层医院。方法：600例LC采用硬膜外麻醉,术前不置胃管。剑突下穿刺孔改为5mm,“线扎法”处理胆囊动脉与胆囊管,对有可疑胆总管结石者行术中胆道造影检查。结果：598例顺利完成手术,手术时间25~80min,平均45min,2例中转开腹。术中出血8例(1.3%),术后脐部切口感染9例(1.5%),肝下积液3例(0.5%)。结论：硬膜外麻醉、“线扎法”处理胆囊管在LC中是安全可靠和经济可行的。

    【关键词】胆囊切除术，腹腔镜

    A few improvements for laparoscopic cholecystectomy

    LI Shenhui,ZHANG ZhiYong,XU Jiapu.The Dept.

    of General Surgery,331 Hospital,Zhuzhou 412002,China

    【Abstract】 Objective:To explore the technical improvements of laparoscopic cholecystectomy(LC).Methods:600 cases of laparoscopic cholecystectomy were performed under epidural anesthesia without preoperatively gastric tube insertion.The puncture hole under xiphoid process was changed into 5mm.Cystic artery and duct were tied up with ligature.The common bile duct suspicious to have stones accepted intraoperative transcholecystic cholangiography(TCC).Results:598 cases of LC were successfully performed 2 cases were converted to open procedure.Time of operation ranged from 25 min to 80 min(average,45 min).8 cases (1.3%) bleed in operation,9 cases (1.5%) had infection of umbilical incision,3 cases (0.5%) accumulated liguid under liver.Conclusions:It is safe and economic for LC to be performed with epidural anesthesia and the methods of ligated cystic artery and duct. ......

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