“高危”胆囊结石患者行腹腔镜胆囊切除术的要点分析——附115例报告

• Main Author: HUANG Hui
• Format: Article
• Language: zho
• Published: Editorial Department of Journal of Clinical Hepatology 2014-05-01
• Series: Linchuang Gandanbing Zazhi
• Subjects: cholecystolithiasis; intraoperative period; cholecystectomy; laparoscopic
• Online Access: http://www.lcgdbzz.org/qk_content.asp?id=5852&ClassID=42414525

ObjectiveTo investigate the characteristics of high-risk cholecystolithiasis and summarize the experience of laparoscopic cholecystectomy for this disease. MethodsA retrospective analysis was performed on the clinical data of 115 patients with high-risk cholecystolithiasis who underwent laparoscopic cholecystectomy in our hospital from October 2008 to March 2012. ResultsOf the 115 patients, 47 had stones filling the gallbladder as well as atrophy of the gallbladder and porcelain gallbladder, 42 had acute suppurative and gangrenous cholecystitis, 20 had stone incarceration in the gallbladder neck, 3 had cystic duct stones, 2 had cholecystoduodenal fistula, and 1 had Mirizzi syndrome; all patients were cured and discharged. ConclusionFor patients with high-risk cholecystolithiasis, laparoscopic cholecystectomy is feasible, given active preoperative preparation, strengthened perioperative management, and accurate, standard, and skilled surgical operation.