摘要
目的：探讨硬膜外阻滞下免气腹三孔法腹腔镜胆囊切除术（laparoscopic cholecystectomy，LC）在临床上的应用。方法：回顾性分析2002年4月-2006年10月386例胆囊结石或胆囊息肉患者在连续硬膜外阻滞下施行免气腹腹腔镜胆囊切除术的临床资料。结果：386例中除5例中转手术外，381例均顺利完成LC。术后无酸中毒、肩痛、心肺功能的进一步损伤及其他并发症发生。结论：免气腹三孔法LC非常适用于心肺功能差、肾功能不全及肝硬化等不能耐受气腹的老年患者，手术费用降低，并发症发生率下降。
Objective ：To study the clinical application of gassless three-port-looping laparoscopic cholecystectomy （LC）with successive epidural anesthesia. Methods：Three hundred and eighty-six patients with a diagnosis of cholecystolithiasis or gallbladder polyps undergone gassless three-port-looping laparoscopic cholecystectomy procedures from April 2002 to October 2006 were analyzed retrospectively. Results：In addition to 5 patients required convert to an open procedure,381 cases were performed successfully. None of the operations appeared to acidosis, shouder pain, cardiopulmonary function injury or other complications. Conclusions：Gassless three-port-looping laparoscopic cholecystectomy not only suit high-risk elder patients affected by cardiopulmonary insufficiency, renal inadequacy or hepatic cirrhosis, but also probably decreases costs and reduces incidence of complications.
出处
《腹腔镜外科杂志》
2007年第2期163-164,共2页
Journal of Laparoscopic Surgery
关键词
胆囊切除术
腹腔镜
免气腹
三孔法
硬膜外阻滞
Cholecystectomy, laparoscopic
Gassless
Three-port-looping
Epidural anesthesia
