【摘要】 目的总结腹腔镜胆囊切除术(LC)胆囊三角的处理经验。方法对我科2008年1月～2010年1月行LC410例患者的临床资料进行回顾性分析。所有患者均采用三孔或四孔法,先处理胆囊三角,用电凝钩薄层解剖Calot三角前、后浆膜,游离胆囊管,胆囊动脉,使Calot三角充分显露后分别上可吸收生物夹后切断,顺行或顺逆结合切除胆囊。结果 410例中,1例因胆囊动脉出血中转开腹,术后并发胆瘘1例,开腹探查为迷走胆管胆瘘,其余均痊愈出院。结论 LC术中仔细辨清解剖Calot三角的结构,可以减少LC的手术并发症。更多还原

【Abstract】 Objective To conclude experiences about calot’s triangle in laparoscopic cholecystectomies.Methods Analyzed retrospectively 410 cases’ data of laparoscopic cholecystectomies(LC) in our department which from Jan 2008 to Jan 2010,all patients were treated by three-hole method or four-hole method,calot’s triangle was handled in priority,to dissect anterior and posterior triangle in thin layer with electronic coagulative claw,then dissociated cystic duct and cystic artery to make calot’s triangle in good exposure,handled cystic duct and artery with absorbable organic clips,then resected gallbladder in smooth running or retrogradation.Results In all 410 cases,one case transferred to open-operation because of cystic artery bleeding.Another case complicated with biliary fistula,in second operation,aberrant bile duct fistula was detected.The rest of patient all recovered.Conclusion In the operations,to indentify and dissect structures in calot’s triangle can reduce complications after laparoscopic cholecystectomies.更多还原