CAJ | 학술논문

目的在腹腔镜胆囊切除术(LC)中正确判断总胆管、胆囊管的解剖部位，减少手术误伤。方法将同期、同样体重的LC患者随机分成两组。显影组(589例)。术中采用亚甲蓝注射液，行胆囊穿刺造影，使胆囊、胆囊管、总胆管颜色显蓝。对照组(553例)：常规腹腔镜胆囊切除术，未行胆囊造影术。结果显影组手术时间[(36±9)min]、并发症发生率(0)及中转手术率(1．87％)与对照组比较差异均有极显著意义(P<0．01)。结论在LC术中行亚甲蓝胆囊造影术是一种较直观的显影技术，可帮助术者在LC术中正确判断Galot三角解剖结构，明显缩短手术时间，提高手术成功率。
목적재복강경담낭절제술(LC)중정학판단총담관、담낭관적해부부위，감소수술오상。방법장동기、동양체중적LC환자수궤분성량조。현영조(589례)。술중채용아갑람주사액，행담낭천자조영，사담낭、담낭관、총담관안색현람。대조조(553례)：상규복강경담낭절제술，미행담낭조영술。결과현영조수술시간[(36±9)min]、병발증발생솔(0)급중전수술솔(1．87％)여대조조비교차이균유겁현저의의(P<0．01)。결론재LC술중행아갑람담낭조영술시일충교직관적현영기술，가방조술자재LC술중정학판단Galot삼각해부결구，명현축단수술시간，제고수술성공솔。
Objectives To help the operator correctly judge in operation the cystic gall duct and choledoch, and eliminate the operation wound． Methods To divide laparoscope cholecystectomy patients with the same weight at the same period into two groups: development group (589 cases) using methylenum coeruleum and conducting cholecysto-puncture visualization during the operation in which colors of cholecyst, cystic gall duct and choledoch turn blue; comparative group (553 cases) using regular laparoscope cholecystectomy． Results The two groups differd remarkably in operation time, complication, and transferring rate ( P < 0．01 )． Conclusions Methylenum coeruleum development technology in operation is a kind of visualization to help the operator judge in operation Calot triangular anatomy construction correctly, reduce the operation time obviously, and increase the rate of success．