腹腔镜胆囊大部切除术的临床应用（附43例报告）

目的 探讨不解剖Calot三角的腹腔镜胆囊大部切除术降低中转开腹率的安全性和临床价值 方法 回顾分析43例不解剖Calot三角的腹腔镜胆囊大部切除的临床资料，手术技巧、手术风险。结果 43例患者中，其中男性 19 例，女性 24 例。年龄26~74岁，平均41岁。其中萎缩性胆囊炎8 例， 慢性胆囊炎急性发作32 例，急性胆囊炎3 例。其中29例术后无胆汁引流，10例于5天内拔除腹腔引流管，3例术后7天拔除引流管，1例拔管时间延迟到术后14天。全部病例均痊愈出院，经至少6个月随访，未发现并发症。结论 该术式用于Calot三角解剖困难的病例能够显著降低中转开腹率，临床应用安全。

Clinical application of laparoscopic subtotal cholecystectomy(A report of 43 cases)

Objective To investigate the safety and clinical value of(LPC)without dissecting Calot triangle in decreasing conversion rate of difficult cases.Method The clinical data of 43 cases received laparoscopic subtotal cholecystectomy without Calot triangle were analyzed retrospectively.Results Among them,8 cases were diagnosed as atrophic cholecystitis,32 chronic cholecystitis with acute attack,3 acute cholecystitis.No bile was drainaged in 29 cases,Abdominal drainage were removed within 5 days after operation i...