Chinese Journal of Modern Operative Surgery  2017, Vol. 21 Issue (5): 337-339 DOI: 10.16260/j.cnki.1009-2188.2017.05.004 |
| Clinical Research |
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| Clinical Analysis on Complex Laparoscopic Cholecystectomy: 119 Cases Report |
| ZHOU Hou-ping, SONG Xin, YAO Ben-neng, ZHOU Lv
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| Department of Hepatobiliary Surgery, the People's Hospital of Xiangxi Autonomous Prefecture， The First Affiliated Hospital of Jishou University, Jishou 416000, Hunan, China |
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Abstract ObjectiveTo explore the management of laparoscopic cholecystectomy (LC) in complicated cases.MethodsThe clinical data of 119 patients performed difficult LC were retrospectively analyzed, including 55 of cholecystolithiasis combined with acute suppurative cholecystitis, 20 of gangrenous cholecystitis, 12 of perforation of gallbladder, 27 of atrophic cholecystitis and 5 of residual gallbladder removal. 35 cases had abdominal surgery history. The aspirator and dry gauze were used during the operation.ResultsAll 119 cases were accomplished the LC successfully without conversion to open surgery. The operative time was 45 to 220 minutes with an average of 75 minutes. No associated postoperative complications such as hemorrhage and bladder leakage occurred during 1 to 3 months followup. The drainage tube was pulled out 1 to 3 days after ultrasonic exam.ConclusionsLC is safe and effective for complex cholecystectomy patients. The surgical process can be simplified by skilled application of aspirator and dry gauze.
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Published: 25 May 2018
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| ［1］ |
吴金术， 彭创， 毛先海， 等. 胆囊切除致胆管损伤210例诊治经验［J］. 中华普通外科杂志，2007,22(6):416419.
|
| ［2］ |
毛先海， 周海兰， 杨尽晖， 等. 腹腔镜胆囊切除术中Calot三角内变异肝右动脉的辨识与保护［J］. 中国内镜杂志，2008,14(4):391393.
|
| ［3］ |
雷晓东， 邱培才， 利民， 等. 普通吸引器刮吸法行急性胆囊炎腹腔镜胆囊切除术［J］. 中国微创外科杂志，2012,12（8）:758760.
|
| ［4］ |
Lee SE， Kim KS， Kim WB， et al. Practical guidelines for the surgical treatment of gallbladder cancer［J］. J Korean Med Sci，2014，29(10)：13331340．
|
| ［5］ |
杨嘉， 夏进冬， 曲娇， 等. 基于CT扫描数据的Calot三角可视化研究及初步应用［J］. 中国医学计算机成像杂志，2013，19（5）:459463.
|
| ［6］ |
王殿臣， 董永红， 陈智， 等. 三结构确认胆囊管在预防腹腔镜胆囊切除术胆管损伤中的价值［J］. 中华医学杂志，2009,6(89):406408.
|
| ［7］ |
周后平， 毛先海. 肝胆外科腹腔镜手术中扶持光源的手术配合［J］. 现代医药卫生，2013，4(29)：537538．
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| [1] |
ZHU Jian-ping, MOU Dong-cheng, XUE Chen-hui, YU Guo-hua, YANG Guang-wei, LI Yong-meng, MA Shuang-fei, ZHANG Qi-feng, ZHAO Yong, ZHAO Lei, WANG Hai-tao, SUN Wei-guang, TAN Jian-ping. Experiences of Emergency Laparoscopic Cholecystectomy
for Acute Cholecystitis Patients with Gallstone Incarcerated in Cervical Cystic Ducts[J]. Chinese Journal of Modern Operative Surgery, 2018, 22(1): 10-13. |
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