丝线加套扎线处理胆囊管在腹腔镜胆囊切除术中的应用

目的 探讨丝线加套扎线在腹腔镜胆囊切除术中的临床应用价值。方法2001年至2006年，采用丝线及套扎线结扎处理胆囊管的256例腹腔镜胆囊切除术，观察胆漏、术后胆囊动脉出血、右上腹不适、胆总管损伤和术后住院时间。结果 全部病例无并发症。手术后3~5天出院。随访1月，复查B超未发现胆囊窝积液。结论 在腹腔镜胆囊切除术中应用丝线加套扎线处理胆囊管，手术安全并能避免金属异物在体内留置。

Ligating The Cystic Duct With Silk Thread And Ligating Loop In Laparoscopic Cholecystectomy

Objective To explore the clinical application of silk thread adds ligating loop in laparoscopic cholecystectomy (LC) .Methods Ligation of the cystic duct with silk threads and ligating loop in 256 patients of LC from 2001 to 2006. Observation of the bile duct leaks, the cystic artery bleed after operation, right upper quadrant pain, choledochal injury and the time of hospitalization. Result All patients were discharged in the post- operative third or fifth day without any complication. There was no effusion in the gall bladder bed after 1 months. Conclusions Ligation of the cystic duct with silk threads and ligating loop in laparoscopic cholecystectomy was safe and avoided metallic foreign bodies in abdominal cavity.