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腹腔镜胆囊切除术中转小切口胆囊切除术临床应用
引用本文:廖国庆,廖忠,何方,张光全,何茂良,李大江. 腹腔镜胆囊切除术中转小切口胆囊切除术临床应用[J]. 局解手术学杂志, 2010, 19(4): 287-288
作者姓名:廖国庆  廖忠  何方  张光全  何茂良  李大江
作者单位:[1]成都市第六人民医院肝胆外科,四川成都610051 [2]第三军医大学西南医院全军肝胆外科研究所,重庆400038
摘    要:目的探讨腹腔镜胆囊切除术(LC)中转小切口胆囊切除术(MC)临床应用。方法对2 235例LC中转56例MC作回顾分析,LC改MC主要技术是将原剑突下斜行10 mm戳孔沿肋缘下向右延长至5~6 cm进行直视下小切口操作。结果 56例LC例中转为MC操作后均比较顺利切除胆囊,仅4例急性胆囊炎炎症明显,出血量300~400 mL,全组无严重并发症。结论 LC中转MC后操作容易、安全,而且不失微创的理念,对患者有利。

关 键 词:腹腔镜胆囊切除术  小切口胆囊切除术  临床应用

Clinical application of minicholecystectomy in laparoscopic cholecystectomy
LIAO Guo-qing,LIAO Zhong,HE Fang,ZHANG Guang-quan,HE Mao-liang,LI Da-jiang. Clinical application of minicholecystectomy in laparoscopic cholecystectomy[J]. Journal of Regional Anatomy and Operative Surgery, 2010, 19(4): 287-288
Authors:LIAO Guo-qing  LIAO Zhong  HE Fang  ZHANG Guang-quan  HE Mao-liang  LI Da-jiang
Affiliation:(Department of Hepatobiliary Surgery,Sixth People's Hospital,Chengdu Sichuan 610051,China)
Abstract:Objective To explore the clinical application of minicholecystectomy(MC) in laparoscopic Cholecystectomy(LC).Methods Totally 2 235 cases of LC were retrospectively analyzed among which 56 cases performed MC.In MC cases,an initial 5 to 6 cm subcostal incision was done instead of a 10 mm oblique incision under cartilage ensiformis in conventional LC cases.Results All 56 patients undergoing MC removed gallbladder successfully and had no serious complications,only four patients with acute cholecystitis expreienced a blood loss of 300~400 mL.Conclusion Minicholecystectomy is safe,feasible,inexpensive and it is in line with the concept of minimally invasive surgery and the interests of the patient.
Keywords:laparoscopic cholecystectomy  minicholecystectomy  clinical application
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