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| 腹腔镜胆囊切除术解剖困难时的对策 | |
| 引用本文： | 严立俊,汤利民,张棉成,张赟. 腹腔镜胆囊切除术解剖困难时的对策[J]. 中国现代手术学杂志, 2007, 11(4): 288-289 |
| 作者姓名： | 严立俊 汤利民 张棉成 张赟 |
| 作者单位： | 江苏省宜兴市张渚人民医院普通外科,宜兴,214200 |
| 摘 要： | 目的探讨行腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)时对胆囊三角解剖困难者的处理方法。方法回顾性分析胆囊三角解剖困难的LC术23例,行逆行法或顺逆结合法切除胆囊。结果23例LC均成功完成,术后发生胆漏1例,腹腔引流7 d后治愈。无胆管损伤、腹腔感染等并发症。结论胆囊三角解剖困难者采用逆行法或顺逆结合法有利于LC的顺利完成。 |
| 关 键 词： | 胆囊切除术,腹腔镜 胆囊炎 |
| 文章编号： | 1009-2188（2007）04-0288-02 |
| 修稿时间： | 2007-04-09 |
Managements for Difficult Dissection in Laparoscopic Cholecystectomy |
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| YAN Li-jun,TANG Li-min,ZHANG Mian-cheng,ZHANG Yun. Managements for Difficult Dissection in Laparoscopic Cholecystectomy[J]. Chinese Journal of Modern Operative Surgery, 2007, 11(4): 288-289 | |
| Authors: | YAN Li-jun TANG Li-min ZHANG Mian-cheng ZHANG Yun |
| Abstract: | Objective To explore the managements for difficult dissection on the Calot triangle in laparoscopic cholecystectomy(LC).Method 23 cases were underwent LC by retrograde resection or along-contrary combinative cholecystectomy in the conditions of difficult dissection on the Calot triangle.Results All LC of 23 patients were accomplished successfully without bile duct injury or abdominal infection.Bile leakage occurred in 1 case and was cured by abdominal drainage for 7 days.Conclusion Retrograde resection or along-contrary combinative cholecystectomy is of benefit to complete LC when Calot triangle is difficult to dissect. |
| Keywords: | cholecystectomy laparoscopic cholecystitis |
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