应用腹腔镜多功能夹持钳施行腹腔镜胆囊切除术105例报告

目的探讨在腹腔镜胆囊切除术（laporoscopic cholecystectomy，LC）中应用作者自行研制的腹腔镜多功能夹持钳以丝线取代钛夹和生物夹结扎胆囊管和胆囊动脉的安全性和可行性，评价该器械的临床应用价值。方法从2006年1月至2007年3月间，应用腹腔镜多功能夹持钳施行腹腔镜胆囊切除术105例。结果全部手术均获成功，无一例中转开腹，术后无并发症发生。手术时间18～165min，平均44min。住院4～7d，平均4．6d。结论在LC术中应用腹腔镜多功能夹持钳以丝线取代钛夹和生物夹结扎胆囊管和胆囊动脉是安全、可行的；本新型器械与现有缝合打结器械相比．能有效降低利用丝线结扎组织的难度，提高打结效率，具有很高的推广应用价值.

A report of laporoscopic cholecystectomy using the multifunctional holding forceps for laparoscopy in 105 csses

Objective To explore the security and the feasibility of ligating the cystic duct and the cystic artery with silk suture as the substitute for titanic or biological clamps in laporoscopic cholecystectomy （LC）, and evaluate the clinical applications of the muhifunctional holding forceps for laparoscopy developed by the authors. Methods One hundred and five laparoscopic cholecystectomies were performed using the new-type instrument from January 2006 to March 2007. Results All the operations were finished successfully. No conversions to open surgery were needed and no postoperative complications occurred. The operative duration was 18-165 min （mean=44 min）. The duration of hospitalization was 4-7 d （mean=4.6 d）. Conclusion It is safe and feasible for silk suture to ligate the cystic duct and the cystic artery in LC. Compared to the existing knot-tying device and medical suturing instrument, the new-type instrument helps to offer less knot-tying difficulty and higher knot-tying efficiency, so it is worthy of being popularized.