有胆囊手术史的腹腔镜胆囊切除术
胆囊切除术,,胆囊切除术，腹腔镜；胆结石；胆囊手术史,1资料与方法,2结果,3讨论,参考文献
【摘要】目的：探讨腹腔镜胆囊切除术(LC)在有胆囊手术史胆囊结石患者中的可行性及特点。方法：回顾分析15例有胆囊手术史的胆囊结石患者行LC的临床资料及治疗结果，采用开放法置入穿刺鞘，使用粘连区分离技术，显露胆囊全貌及Calot三角，按常规切除胆囊。结果：13例患者在腹腔镜下治疗成功，效果良好。2例中转开腹，无出血、内脏损伤、胆漏和胆道损伤等并发症发生，平均手术时间65min，平均住院45d。结论：有胆囊手术史的LC术具有创伤小、痛苦轻、康复快、不影响切口愈合等优点，是一种安全有效的方法。【关键词】胆囊切除术，腹腔镜；胆结石；胆囊手术史
Laparoscopic cholecystectomy in patient with history of gallbladder operation
WU Zhiming,LOU Jianping,MENG Xingcheng,et al.
Dept. of Surgery,Shaoxing Fourth Hospital,Shaoxing 312030,China
【Abstract】Objective:To evahvate the feasibility and characteristics of aparoscopic cholecystectomy(LC) in patients with gallbladder operation history. Methods:Retrospectively analyse the clinical data of 15 cases of LC in patients with gallbladder operation history openimg method Cowd be used to insert the trocar and the adhesive tissssue was dissected conventionally,the anatomical position of gallbladder and Calot′s triangle were exposed clearly.Finanally,the cholecystectomy was conducted through routice LC.Results:Thirteen cases were successed by laparoscopy and had good effect.Laparoscopic operation changed to abdominal incision in two cases.No complications of intraperitoneal hemorrhage abdominal visceral injury,biliary spillage,trauma of biliary duct were found.The average operative time was 65min,The average hospital stay was 4.5d.Conclusions: The LC in the patients with history of gallbladder operation has many advantages such as little suffering and injury,fast recovery,not affecting healing of incision,and so on.It is a safe and effective procedure for the patient. ......
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