腹腔镜胆囊切除术中胆囊管次全切除术的临床研究(附104例报告)

摘要

Objective: To investigate the safety and feasibility of dissection and subtotal resection of cystic duct during laparoscopic cholecystectomy ( LC) . Methods;The clinical data of 104 cases of LC were retrospectively analyzed. The cystic duct was dissected to the junction of the cystic duct with the common hepatic duct,and the cystic duct was closed at the junction with an absorbable clip, then the cystic duct was subtotally excised. Results; All the 104 cases of LC were successfully performed with no conversion to lap-arotomy. The cystic duct was successfully excised subtotally in 97 patients (93.3%). No complications, such as abdominal pain or jaundice,occurred within a 5-6 months' follow-up. Conclusions: With the advantage of lower incidence of post cholecystectomy syndrome caused by remnants of cystic duct, it is safe and feasible to dissect and sub-totally resect the cystic duct close to the junction of the cystic duct and the common hepatic duct in LC.%目的:探讨腹腔镜下分离并次全切除胆囊管的安全性及可行性.方法:回顾分析104例腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)的临床资料,术中分离胆囊管至肝总管汇合部,用可吸收夹夹闭并次全切除胆囊管.结果:104例手术均获成功,无一例中转开腹；其中97例(93.3％)成功行胆囊管次全切除术.术后随访5～6个月,无腹痛、黄疸等并发症发生.结论:LC术中分离并次全切除胆囊管是安全、可行的,同时可减少因残留胆囊管引发的胆囊切除术后综合征.