萎缩性胆囊炎的腹腔镜切除技术探讨
胆囊炎,,萎缩性胆囊炎；腹腔镜外科手术,1资料与方法,2结果,3讨论,参考文献：
【摘要】目的：探讨萎缩性胆囊炎的腹腔镜切除技术。方法：25例患者根据术中胆囊三角的疤痕化程度，采用常规腹腔镜胆囊切除或胆囊横断法(缝合、明胶海绵+生物蛋白胶填塞闭合胆囊管)两种手术方法。结果：无中转开腹，常规法切除19例，横断法切除6例，两种方法平均手术时间分别为51min、92min，平均术后住院2.8d、5.7d，未出现并发症。结论：采用适当的手术技术可安全地完成萎缩性胆囊炎的腹腔镜切除。【关键词】萎缩性胆囊炎；腹腔镜外科手术
The operative technique of laparosocopic cholecystectomy for calculous atorphic cholecystitis
LI Ping，KE Chongwei,XU Guicheng
(1.Tai zhou People’s Hospital, Taizhou Jiang shu 225300,china; 2.Changhai Hospital of Second Military Medical University, Shanghai)
【Abstract】Object: To explore the operative techniques of laparosocopic cholecystectomy for calculous atorphic cholecystitis.Methods: 25 cases in total. According to scar severity of the triangle of calot, two kinds of operation, including routine laparoscopic cholecystectomy and laparoscopic gallbladder amputation (the cystic duct be closed with sewing, glutin tamping) were peoformed. Results: No patient was converted to open surgery. The routine LC could be accomplished in 19 cases. The other 6 cases of cholecystectomy were accomplished with the method of amputation. The mean operative time of this two operation was 51min and 92min respectively. The patients could be discharge at 2.8d and 5.7d postoperatively. All were accomplished successfully without operative complication. Conclusions: Laparosocopic cholecystectomy for calculous atorphic cholecystitis can be performed safely with proper techniques. ......
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