腹腔镜胆囊切除术中胆囊动脉的预防和处理

目的 总结腹腔镜胆囊切除术中用电凝处理胆囊动脉的效果和经验。方法 回顾性分析我院2001年8月至2007年8月75例腹腔镜胆囊切除术中电凝法处理胆囊动脉的临床资料。结果 电凝法72例（96％）术中、术后无继发出血；3例因胆囊动脉封闭不牢固需要用夹闭法。手术时间20～70min，平均（46．4±11．2）min；术中出血量6～29ml，平均（11.8±5．3）ml；术后住院时间3～7d，平均（5．7±2．4）d。无手术并发症发生。结论 腹腔镜胆囊切除术中合理应用电凝法处理胆囊动脉止血效果可靠，节省费用。

Clinical application of electrocoagulation of gallbladder artery for laparoscopic cholecystectomy

Objective To summarize the effect and experiences of electrocoagulation of gallbladder artery for laparoscopic cholecystectomy. Methods 75 patients underwent laparoscopic cholecystectomy were adopted artery electroeoagulation intraoperatively form August 2000 to August 2006. The clinical data were retrospectively analyzed. Results Of the 75 patients,72 cases had satisfactory effect,without bleeding during and after the operation. Only 3 was required artery clipping because unsafe sealed. The mean total operation time was（46.4 ± 11.2） min（ range 20-70） min, and mean bleeding quantity was（ 11.8 ± 5.3 ） ml（ range 6-30）. The mean hospital stay after operation was（5.7 ± 2. 4 ） days （ range 3-7 ）. All cases had no complications. Conclusion For laparoscopic cholecystectomy,felicitous management of artery electrocoagulation has credibility in hemostasis, and has advantage to cost saving.