改良两孔法腹腔镜胆囊切除术的临床应用

目的 总结改良两孔法腹腔镜胆囊切除术的临床效果.方法 回顾分析2012年11月至2013年12月期间我院214例改良两孔法腹腔镜胆囊切除术的临床资料.结果 在接受改良两孔法腹腔镜胆囊切除术的214例患者（女125例,男89例）中,慢性结石性胆囊炎122例,急性结石性胆囊炎86例,胆囊息肉6例.204例顺利完成手术（成功率95.3％）,9例因广泛致密粘连改为三孔法完成手术,1例术中明确为Mirizzi综合征,中转开腹完成胆囊切除术.平均手术时间为（46.4±12.3）min,术中出血（24.0±8.3）mL.所有患者术后无出血、胆漏、胆道损伤等并发症发生.结论 改良两孔法腹腔镜胆囊切除术是一实用、安全的微创手术方法.

Clinical application of modified two-port laparoscopic cholecystectomy

Objective To summarize clinical effect of the modified two-port laparoscopic cholecystectomy.Methods Retrospective analysis was done on the clinical data of 214 cases who had performed modified two-port LC in our hospital from Nov.2011 to Dec.2013.Results Two hundred and fourteen （femal 125/male 89） patients who performed modified two-port LC,which included chronic calculous cholecystitis （122 cases）,acute calculous cholecystitis （86 cases） and cholecystic polyps （6 cases）.The procedure was successful in 204 cases （success rate 95.3％）,and a third trocar was added in 9 cases （4.2％） due to severe pathological adhesion.One patient required conversion to open surgery because of Mirizzi syndrome ascertained during operation.The mean operative time was （46.4 ± 12.3） min and the operative bleeding was （24.0 ± 8.3） mL.Conclusion The modified two-port LC is a practical,safe and relatively minimally invasive procedure.