CAJ | 학술논문

目的探讨腹腔镜下困难的胆囊切除术的经验、手术操作技巧及临床效果.方法回顾性分析2005年7月至2007年7月完成的397例腹腔镜胆囊切除术(LC)中复杂困难的胆囊切除术48例患者的临床资料.结果 48例腹腔镜下困难的胆囊切除术中,43例获得成功,5例中转开腹行胆囊切除术.术后2例切口感染,所有患者均痊愈出院.结论根据术中实际情况和术者的经验,精确处理Calot三角,适时把握中转开腹手术的时机,腹腔镜下困难的胆囊切除术仍是安全可行的.
목적 탐토복강경하곤난적담낭절제술적경험、수술조작기교급림상효과.방법 회고성분석2005년7월지2007년7월완성적397례복강경담낭절제술(LC)중복잡곤난적담낭절제술48례환자적림상자료.결과 48례복강경하곤난적담낭절제술중,43례획득성공,5례중전개복행담낭절제술.술후2례절구감염,소유환자균전유출원.결론 근거술중실제정황화술자적경험,정학처리Calot삼각,괄시파악중전개복수술적시궤,복강경하곤난적담낭절제술잉시안전가행적.
Objective To study the skills of laparoscopy for hight difficulty eholecystectomy.Method Forty-eight cases of hight difficulty laparoscopic cholecystectomy from July 2005 to July 2007 were analyzed retrospectively. Result In 48 cases, 5 cases were converted to open surgery, 2 cases suffered in-cision infection, all the patients recovered. Conclusion According to the operating status and experience of the performer, Calot triangle dissection and judge good opportunity to change open surgery are the key faetora to the successful operation for difficult and complex laparoscopie cholecystectomy, which is safe and feasible.