超声刀结合术中胆道造影行腹腔镜胆囊大部切除术23例临床分析

目的:探讨超声刀结合术中胆道造影行腹腔镜胆囊大部切除术的手术适应症和安全性.方法:回顾性分析我院2010年1月～2011年3月行超声刀结合术中胆道造影腹腔镜胆囊大部切除术23例患者的临床资料.结果:全组病例均于术后第2天拔出腹腔引流管,术后第3天出院,随访至少3个月,无胆漏、出血或胆管损伤等围手术期并发症发生.结论:超声刀结合术中胆道造影行胆囊大部切除术对Calot三角解剖困难的手术安全性高.

Clinical Analysis of 23 Cases Treated by Laparoscopic Subtotal Cholecystectomy Using Ultrasonic Scalpel and Intraoperative Cholangiography

Objective： To investigate the safety and indications of laparoscopic subtotal cholecystectomy using ultrasonic scalpel and intraoperative cholangiography. Methods： The clinical data of 23 cases underwent laparoscopic subtotal cholecystectomy were analyzed retrospectively from Jan 2010 to Mar 2011. Results： Abdominal drainage tubes were removed on the second day after the operation in all cases. All cases were discharged within 3 days after operations and followed up for at least 3 months, no complications such as bile leak,bleeding and bile duct injury were found. Conclusion： Laparoscopic subtotal cholecystectomy using ultrasonic scalpel and intraoperative cholangiography is a safe procedure for the cases with difficult Calot＇s triangle dissection.