荧光腹腔镜胆囊切除术

患者女性,47岁,因反复右上腹胀痛6个月入院。既往剖宫产手术史。腹部彩超提示:胆囊结石,MRCP提示:胆囊结石,右副肝管显示毗邻胆囊颈管。诊断:胆囊结石伴慢性胆囊炎。手术:腹腔镜胆囊切除术,术中解剖胆囊前、后三角,显露胆囊管及胆囊动脉,注意保护右副肝管,胆囊管近胆总管侧、胆囊动脉近心端用可吸收生物夹夹闭,胆囊管胆囊侧用1-0丝线结扎、切断胆囊管,胆囊动脉远心端用电凝凝闭,胆囊床用电凝分离。胆囊从脐上缘戳孔处取出。

Laparscopic cholecystectomy

A female patient of 47 years old was admitted to our hospital due to recurrent right upper distending pain for 6 months.She had the previous history of cesarean.Abdominal ultrasound found cholecystolithiasis.MRCP found cholecystolithiasis and right accessory hepatic duct near cystic duct.Diagnosis:Cholecystolithiasis with chronic cholecystitis.Laparscopic cholecystectomy was performed as follows:Firstly,the anterior and posterior gallbladder triangle was dissected to expose the cyst duct and gallbladder artery when attended to protect the right accessory hepatic duct.Secondly,the gallbladder duct near the common bile duct and the gallbladder artery near the heart were closed with absorbable biological clips,moreover,the gallbladder duct near the gallbladder artery was ligated with 1-0 silk thread.The gallbladder duct was cut off and the distal gallbladder artery was closed with electric coagulation.Thirdly,the gallbladder bed was separated with electric coagulation.The gallbladder was removed from the perforation at the superior border of umbilicus.