丝线打结改良迷你腹腔镜胆囊切除术疗效分析

目的:探讨改良迷你腹腔镜胆囊切除术(LC)中用丝线打结替代夹子处理胆囊管和胆囊动脉的安全性和可行性.方法:2008年1月～2011年5月458例LC手术中,112例(22.45％)采用改良迷你腹腔镜,用丝线打结处理胆囊管及胆囊动脉顺利完成手术中,346例常规方法(兔夹子处理),对比两组转开腹手术比率、手术时间、术中出血...

The treatment about modified mini-laparoscopic cholecystectomy by using silk tie

Objective To explore the security and feasibility of modified mini-laparoscopic cholecystectomy dealed with cystic duct and cystic artery by silk ties instead clips.Methods 458 patients of LC surgery during 2008 January ~ May 2011,were divided into two groups: 112 cases(22.45%) using modified mini-laparoscopy,treatment of cystic duct with a silk tie and successful complete the cystic artery surgery;The others 346 patients using conventional rabbit clip.Compare the rate of convert to open operation,operative time,blood loss,drainage tube placed time and complications.Results In conventional group,3 cases(0.87%) convert to open operation;and in modified mini-laparoscopic group,1 case(0.89%) convert to open operation.There were no significant difference in the two groups from the operative time,blood loss,drainage tube placed time.Patients hadn’t complications such as bleeding,bile leakage and intra-abdominal infection.Follow-up of 402 cases(modified group of 80 patients,conventional group 322 cases),there were no patients have abdominal pain,jaundice and fever and other symptoms.Modified group and the conventional are no significant clinical differences(P> 0.05),and achieve a good cosmetic effect P <0.05.Conclusion Modified mini-laparoscopic by using silk tie and ultrasonic surgical knife in treatment of cystic duct and cystic artery is a reliable,safe,and can effectively avoid the complications of the clip,the patient’s surgery is more beautiful.