急性胆囊炎行急诊腹腔镜胆囊切除术的处理技巧

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The Operative Technique of Emergency Laparoscopic Cholecystectomy for Acute Cholecystitis

摘要: 目的探讨急诊腹腔镜胆囊切除术的可行性并总结手术处理技巧.方法回顾性分析67例急性结石性胆囊炎患者急诊行腹腔镜胆囊切除术(laparoscopic cholecystectom,LC)的临床资料.结果 64例患者顺利完成LC,3例患者行中转开腹胆囊切除,LC手术时间26～90 min,平均56 min,术中出血量5～130 mL,平均80 mL,16例患者术中使用了止血纱布,18例患者放置了腹腔引流管,无胆管损伤等严重并发症发生.结论选择合适的手术时机,熟练地掌握LC的操作技巧,急性胆囊炎时实施腹腔镜胆囊切除术是安全、有效、可行的.
- 急性胆囊炎 /
- 腹腔镜胆囊切除术 /
- 手术技巧
Abstract: Objective To explore the feasibility of emergency laparoscopic cholecystectomy and to summarize the operative technique.Method The data of 67 patients with acute cholecystitis received emergency laparoscopic cholecystectomy were analyzed retrospectively.Results Among the 67 cases,64 patients were treated by LC,3 patients were converted to open surgery.The mean operative time of LC was 56 min,mean operative blood loss was 80 mL,16 patients were treated by absorbable hemostatic gauze because of bleeding,18 pa...
- Acute cholecystitis /
- Laparoscopic cholecystectomy /
- Operative technique

[1]	侯勇, 曹凡, 胥江品, 陈红安, 张霞, 徐安书. 日间腹腔镜胆囊切除术的应用及评价, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20240825
[2]	张成, 许宁, 李伟思, 朱云涛, 孙敏. 吲哚菁绿荧光腹腔镜技术在困难胆囊切除中的临床应用, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20220222
[3]	. 两孔法与三孔法腹腔镜胆囊切除术的临床比较研究, 昆明医科大学学报.