腹腔镜胆囊切除术3485例回顾性分析
Journal of Yangtze University(Natural Science Edition)（2013）
Abstract
目的:对腹腔镜胆囊切除术3485例的手术特点进行总结.方法:回顾性分析腹腔镜胆囊切除术3485例患者临床资料,其中2275例采用腹腔镜顺、逆联合胆囊切除术式(顺逆组)；1210例采用腹腔镜顺行胆囊切除术式(顺行组).分别记录两种术武所需时间、肝床损伤、胆囊破裂、胆道损伤的情况及术中出血量.结果:顺逆组12例术中中转开腹.顺行组28例术中中转开腹,术后12例有少量胆汁漏,术中发现胆管损伤4例,术后发现胆管损伤6例.顺逆组的手术时间、肝床损伤及胆囊破裂情况、术中出血量均较顺行组明显减少.结论:顺、逆联合术式在腹腔镜胆囊切除术术式选择上优势明显.
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