Chinese Journal of Modern Operative Surgery  2018, Vol. 22 Issue (1): 10-13 DOI: 10.16260/j.cnki.1009-2188.2018.01.003 |
| Clinical Research |
|
|
|
|
|
| Experiences of Emergency Laparoscopic Cholecystectomy for Acute Cholecystitis Patients with GallstoneIncarcerated in Cervical Cystic Ducts |
| ZHU Jian-ping1，MOU Dong-cheng1,XUE Chen-hui2,YU Guo-hua3,YANG Guang-wei1,LI Yong-meng1, MA Shuang-fei1, ZHANG Qi-feng1, ZHAO Yong1, ZHAO Lei1,WANG Hai-tao1, SUN Wei-guang1, TAN Jian-ping1
|
| 1.Department?of?Hepatobiliary?Surgery,Beijing?First?Hospital?of?Integrated?Chinese?and?Western?Medicine,Beijing?100018,China； 2.Department?of?Surgery,Tangxian?Kangding?Hospital,Baoding?072350,Hebei，China；3.Department?of?GeneralSurgery,Yuping?Dong?Autonomous?County?People’s?Hospital,Yuping?554000,Guizhou，China |
|
|
|
|
Abstract ?Objective?To study the experiences of emergency laparoscopic cholecystectomy for acute cholecystitis patients with gallstones incarcerated in cervical cysticducts.Methods?Clinicaldata of 51cases of acute cholecystitis with gallstone incarcerated in cervical cysticducts treated by emergency laparoscopic cholecystectomy were retrospectively analyzed.The cases received the surgical approaches of the four-trocar incision and Hartmann' s pouch lithotomy with bluntdissection.Rusults?49 cases (96.1%)finished the laparoscopic cholecystectomy successfully,and 2 cases (3.9%)converted to open cholecystectomy without bileduct injury.3 cases(5.9%)had incision infection.All the cases recovered,with the postoperativehospital stay of 4.5(2～10)days.Conclusions?It is safe and feasible of emergency laparoscopic cholecystectomy for acute cholecystitis patients with gallstones incarcerated in cervical cysticducts.The technique of Hartmann' s pouch lithotomy ishelpful.
|
|
Published: 13 August 2018
|
|
|
|
Corresponding Authors:
1MOU Dong-cheng|2XUE Chen-hui|YUGuo-hua
|
|
|
|
|
|
