腹腔镜胆囊大部分切除术在慢性萎缩性胆囊炎手术中的应用

目的:探讨腹腔镜胆囊大部分切除在慢性萎缩性胆囊炎中应用的可行性及安全性。方法:2007年3月～2011年3月,对26例慢性萎缩性胆囊炎行腹腔镜胆囊大部分切除术。结果:24例患者成功实施腹腔镜胆囊大部分切除术,2例中转开腹,无死亡患者,手术时间为30~170 min,平均103 min,术中出血5~70 mL,平均45 mL。平均住院时间3～11天,平均6.46天。随访3月～36月,未见与手术有关的并发症。术后胆漏1例,经保守治疗治愈。结论:在慢性萎缩性胆囊炎手术中,腹腔镜胆囊大部分切除术可简化手术,降低手术风险,可以获得腹腔镜胆囊切除术相似的疗效。

The Application of Laparoscopic Partial Cholecystectomy in Chronic Atrophic Cholecystitis

Objective: To study the possibility and safety of laparoscopic partial cholecystectomy in chronic atrophic cholecystitis.Methods: From March 2007 to March 2011,we treated 26 patients with chronic atrophic cholecystitis by laparoscopic partial cholecystectomy.Results: 24 cases of the successful completion of surgery,two cases of transit laparotomy,no deaths.Operative time was 30~170 min,an average of 103 min.Bleeding 5~70 mL,an average of 45 mL.3 ~ 11 days after discharged an average of 6.46 days.Follow-up 3 months to 36 months,asymptomatic recurrence,results were satisfactory.Bile leakage after operation was found in 1 cases and recovered after conservative management.Conclusions: Laparoscopic partial cholecystectomy may simplify the operation and reduce the risk of chronic atrophic cholecystitis,and can obtain similar efficacy of laparoscopic cholecystectomy.