胆囊切除术_腹腔镜；困难因素；处理方法_

腹腔镜胆囊切除术中困难因素处理方法的探讨

http://www.100md.com 《腹腔镜外科杂志》 2006年第4期

胆囊切除术,腹腔镜；困难因素；处理方法,,胆囊切除术，腹腔镜；困难因素；处理方法,【摘要】,【关键词】,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)中困难因素的处理方法。方法：回顾分析LC中遇到的腹腔严重粘连、胆囊三角严重粘连、胆囊萎缩、胆囊管增粗、胆囊管结石嵌顿、解剖变异的63例患者的临床资料。结果：除2例中转开腹(占3.17%)外,全部用腹腔镜完成,手术时间平均118min，患者术后均恢复良好。结论：存在困难因素的LC,只要处理方法适当,并不增加中转开腹率和并发症发生率。

     【关键词】 胆囊切除术，腹腔镜；困难因素；处理方法

    The approach of dealing with difficult factors in laparoscopic cholecystectomy QIU Yingfu.Maternal and Child Health Hospital of Sheqi County,Sheqi 473300,China

    【Abstract】 Objective:To approach the methods of dealing with difficult factors in LC.Methods:To define severe adherence of abdominal cavity and Calot's triangle,atrophy of variation as difficult factors in LC,and to approach the methods of dealing with 63 cases coincident with the difficult factors above.Results:Those operations are all finished with laparoscopy,except two cases converted to open operations midway.The average time of operation is 118min.All the patients have good recovery.Conclusions:The rates of open operation midway and complications are not increased in LC with difficult factors as long as dealing with them properly. ......

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