腹腔镜胆囊切除术中粗大胆囊管的处理
腹腔镜胆囊切除术;胆囊管;结扎法,宿砚明,张宗明,钟华,蒋艺,郭金星,通讯作者:,Managementofanenlargedcysticductinlaparoscopiccholecystectomy,Yan-MingSu,Zong-MingZhang
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宿砚明, 张宗明, 钟华, 蒋艺, 郭金星, 清华大学第一附属医院消化医学中心普外科 北京市 100016
通讯作者: 宿砚明, 100016, 北京市朝阳区酒仙桥一街坊6号, 清华大学第一附属医院消化医学中心普外科.
suyanming62@sohu.com
电话: 010-64372362 传真: 010-64361322
收稿日期: 2007-04-24 接受日期: 2007-05-11
Management of an enlarged cystic duct in laparoscopic cholecystectomy
Yan-Ming Su, Zong-Ming Zhang, Hua Zhong, Yi Jiang, Jin-Xing Guo
Yan-Ming Su, Zong-Ming Zhang, Hua Zhong, Yi Jiang, Jin-Xing Guo,Department of General Surgery, Digestive Medical Center, the First Affiliated Hospital of Tsinghua University, Beijing 100016, China
Correspondence to:Yan-Ming Su, Department of General Surgery, Digestive Medical Center, the First Affiliated Hospital of Tsinghua University, No. 6, Block 1, Jiuxian Bridge, Chaoyang District, Beijing 100016, China. suyanming62@sohu.com
Received:2007-04-24 Accepted:2007-05-11
Abstract
AIM: To investigate the management of an enlarged cystic duct in laparoscopic cholecys-tectomy.
METHODS: From November 1995 to December 2004, 46 patients with enlarged cystic ducts underwent laparoscopic cholecystectomy in our hospital. The diameters of the cystic ducts were 0.4-0.6 cm in 21 cases, 0.6-0.8 cm in 14, and > 0.8 cm in 11. Five treatment methods were undertaken: overlapped clipping (n = 12), large-sized titanium clipping (n = 5), endoloop (n = 1), clapping after ligation (n = 22), and ligation (n = 6).
RESULTS: All patients were discharged from hospital without complications.
CONCLUSION: Suitable methods need to be implemented to manage enlarged cystic ducts in laparoscopic cholecystectomy. A ligation method may be the first choice if the operator is skilled in ligation technology ......
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