摘要
目的:探讨腹腔镜胆囊大部切除术后并发胆囊管残留综合征的原因和防治。方法:回顾分析231例胆囊切除手术的临床资料。结果:205例传统胆囊切除术(open cholecystectomy,OC)术后1例并发胆囊管残留综合征(cholecystic duct rem-nant syndrome,CDRS),占0.49%;26例腹腔镜胆囊大部切除术术后2例并发CDRS,占7.31%。腹腔镜胆囊大部切除术后CDRS发生率高于OC(P=0.03)。结论:严格把握腹腔镜胆囊大部切除术的适应证和规范操作是预防CDRS的关键。
Objective： To investigate pathogeny, prevention and treatment of cholecystic duct remnant syndrome after the subtotal laparoscopic cholecystectomy. Methods ： Clinical date of 231 cases of cholecystectomy were retrospectively analyzed. Results： Two hundred and five, Cholecystic duct remnant syndrome occurred in 1 cases（0.49% ）among 205 cases undergone open cholecystectomy （LC）. Of the 26 cases being subject to subtotal laparoscopic cholecystectomy, cholecystic duct remnant syndrome occurred in 2 cases among 26（7.31% ）cases undergone subtotal laparoscopic cholecystectomy. The invidence rate of CDRS after the subtotal laparoscopic cholecystectomy was significantly higher than OC （P = 0.03 ）. Conclusious：The strict regulation of indication and standard operation of subtotal laparoscopic cholecystectomy is the key to prevention CDRS.
出处
《腹腔镜外科杂志》
2007年第2期159-160,共2页
Journal of Laparoscopic Surgery
关键词
胆囊切除术
胆囊大部切除术
腹腔镜
胆囊管残留综合征
Cholecystectomy
Subtotal cholecystectomy, laparoscopic
Cholecystic duct remnant syndrome
