【摘要】 目的 探讨复杂胆囊三角病变的腹腔镜胆囊切除术(LC)方法。方法 回顾性分析1998～2000年采用顺—逆结合法处理复杂胆囊三角区病变79例。结果 79例复杂胆囊三角病变，仅2例中转开腹，1例系十二指肠与胆囊颈部致密粘连，另1例系Mirizzi综合征，结合嵌入胆总管，已形成内瘘。结论 绝大多数复杂胆囊三角病变，均能顺利完成LC术。

    关键词 腹腔镜胆囊切除术 复杂胆囊三角病变 处理

    The handling understanding about complex Calot’s triangle on laporoscopic cholecystectomy

    Hu Jianbo，Yang Heqing，Li Shisha.

    Affiliated363Hospital，Luzhou Medical College，Chengdu646000.

    【Abstract】 Objective To explore handling measures of the difficulties exposing Calot’s triangle in laparoˉscopic cholecystectomy(LC).Methods Seventy-nine cases of laparoscopic cholecystectomy were retrospectively reˉviewed.Open surgery or/and LC were used for the Calot’s triangle pathology.Results Seventy-nine properly maˉnipulated laparoscopic cholecystectmy(LC)cases were reviewed.2cases(2/79)turned to be immediate laparoecˉtomied.Of the2cases I were due to severe adhesion between the gallbladder and the duodenum.The other one was with fistula due to the common bile duct stones(Mirizzi syndrome).Conclusion Absolutedly with most of the Calot’s triangle pathological conditions LC could be manipulated properly. ......