【摘要】 目的探讨腹腔镜胆囊大部切除术的适应证、手术方法及临床价值。方法回顾性分析近4年在该科施行胆囊大部切除术的病例资料。结果全组32例均顺利完成手术,无术后出血、黄疸及肝外胆管损伤等严重并发症发生,胆漏1例,腹壁戳孔感染2例,均经保守治疗痊愈,平均手术时间65min,(69±27)min,术后平均住院时间5d,(4±2)d,随访时间3～12个月,未发现远期并发症。结论只要严格掌握适应证,正确处理胆囊残余部分,术后常规放置腹腔引流管,腹腔镜胆囊大部切除术是一种安全可行、创伤小、并发症少、术后恢复快的手术方法,有一定的临床应用价值。更多还原

【Abstract】 Objective: To explore the indication, operative techniques and clinical value of laparoscopic partial cholecystectomy. Methods: The data of laparoscopic partial cholecystectomy performed in our department in recent 4 years were analysized retrospectively. Results: Laparoscopic operation was performed smoothly in all 32 patients without severe complications such as postoperative hemorrhage, jaundice and extra-hepatic bile duct injury. Bile leak occurred in 1 case and infection in ports of abdominal wall in 2 cases. All these complications were cured by conservative treatment. The average duration was 65 min, (69±27) min, and the mean postoperative hospital stay was 5 d, (4±2) d. No long-term complication took place in 3～12 months’ follow-up. Conclusions: Only if indication is strictly controlled, residual parts of gallbladder are correctly disposed of and drainage tube of abdominal cavity is placed as a rule, laparoscopic partial cholecystectomy is a feasible operative technique with advantages including safty, tiny trauma, less complications and rapid recovery, deserving clinical application.更多还原