文军 周总光 舒晔 文军(汕头大学医学院附属第二医院普外科 汕头 515031)；周总光 舒晔(华西医科大学附属第一医院普外科 成都 610041) 中国普外基础与临床杂志 2000 0 7 6


    关键词：胆囊；解剖变异；腹腔镜胆囊切除术 期刊 zgpwjcylczz 0 380-382 临床研究 fur -->


    

【摘要】 目的 探讨异位胆囊的腹腔镜手术对策。方法 收集我院近年腹腔镜胆囊切除术(LC)所遇21例异位胆囊患者的临床资料，分析其围手术期处理、手术原则和技巧。结果 肝右后叶胆囊1例； 全内脏反位，胆囊位于左肝下2例； 肝左外叶胆囊2例； 肝内胆囊16例。经必要的术前准备及术中相应处理，均在腹腔镜下顺利完成胆囊切除，术中、术后无并发症发生。结论 异位胆囊给LC带来困难，应根据胆囊位置的具体变异，采取适当措施，从而避免手术并发症的发生。

    【中图分类号】 R657.4⁺ 2； R616 【文献标识码】 A

    【文章编号】 1007-9424(2000)06-0380-03

OPERATIVE MANAGEMENT OF ECTOPIC GALLBLADDER DURING LAPAROSCOPIC CHOLECYSTECTOMY

WEN Jun

    (Department of General Surgery, The Second Affiliated Hospital, Shantou University Medical College, Shantou 515041)

    ZHOU Zong-guang, SHU Ye.

【Abstract】 Objective To explore the operative managements of ectopic gallbladder during laparoscopic cholecystectomy (LC).Methods Twenty one cases of ectopic gallbladder undergone LC in this hospital were analyzed regarding the perioperative management, principle, and technique of operation.Results There were 2 cases of situs transversus, 1 case with gallbladder under right posterior lobe of liver, 2 under left lateral lobe of liver and 16 in the liver. All 21 cases of ectopic gallbladder had undergone LC successfully, and no complications were found during and after operation. Conclusion Anatomic ectopia of gallbladder tosses a challenging problem to laparoscopic surgeon. It is safe for surgeons to recognise actual anatomical anomaly and to manage them appropriately.

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