摘要
目的总结双极电凝钳与电凝钩配合施行腹腔镜胆囊切除术(LC)的操作方法与临床效果。方法先用双极电凝钳凝闭胆囊动脉,后用电凝钩切断,术野出血点用双极电凝钳电凝止血;其他步骤基本同常规LC。结果全组32例均痊愈出院;术后平均住院时间3.5d,平均手术时间55min,术中平均出血量4.5ml;无术后腹腔出血、胆漏、戳孔感染等并发症,无中转开腹病例。结论双极电凝钳配合电凝钩施行腹腔镜胆囊切除术操作简单,止血效果好,安全可行。
Objective To summarize the methods and clinical effect of the application of the bipolar coagulation forceps and electrocoagulation hook in laparoscopic cholecystectomy (LC). Methods First the cystic artery was coagulated and closed by bipolar electrocoagulation forceps, then was cut off by the electricity coagulation hook.The surgical field bleeding points was coagulated with bipolar electrocoagultion forceps to stop bleeding. Other surgical steps were basically the same as conventional LC. Results In this group, 32 cases were cured and discharged from hospital. The mean hospital stay was 3.5 d; the average operative time was 55min; the average intraoperative bleeding volume 4. 5 ml. There were no postoperative intra-abdominal hemorrhage, bile leakage, poke holes infections and other complications. No case was of tranferred to laparotomy. Conclusion Appliation of bipolar coagulation foreeps and eleetrocautery hook in laparoscopic eholeeystectomy had the advantages of simple operation, good hemostatie effect, security and feasibility.
出处
《中国临床新医学》
2010年第7期673-675,共3页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
关键词
双极电凝钳
电凝钩
腹腔镜胆囊切除术
Bipolar coagulation forceps
Electreeoagulation hook
Laparoscopic choleeystectomy