中华腔镜外科杂志（电子版）
中華腔鏡外科雜誌（電子版）
중화강경외과잡지（전자판）
CHINESE JOURNAL OF LAPAROSCOPIC SURGERY ( ELECTRONIC EDITION)
2014年
3期
240-242
,共3页
高蔚%金昌国%魏小军%吴振宇%张利刚%欧阳才国
高蔚%金昌國%魏小軍%吳振宇%張利剛%歐暘纔國
고위%금창국%위소군%오진우%장리강%구양재국
腹腔镜胆囊切除术%困难型胆囊%腹腔镜胆囊次全切除%胆囊部分切除
腹腔鏡膽囊切除術%睏難型膽囊%腹腔鏡膽囊次全切除%膽囊部分切除
복강경담낭절제술%곤난형담낭%복강경담낭차전절제%담낭부분절제
Laparoscopic cholecystectomy%Difficult gallbladder%Laparoscopic subtotal cholecystectomy%Partial cholecystectomy
目的：探讨腹腔镜胆囊次全切除术的可行性，总结困难型腹腔镜胆囊切除术的经验，尤其是腹腔镜胆囊次全切除理念在困难型腹腔镜胆囊切除术中的体现及应用。方法回顾分析我院2008年1月至2013年10月所行腹腔镜胆囊次全切除病例，并以2011年5月为时间节点分为 A 组（节点前时段）、B 组（节点后时段）,分别比较前后两组的（胆囊切除实行专病专治），手术时间、术后住院时间、术中出血量。结果 B 组手术时间（78.1±6.6）min 少于 A 组（97.5±7.3）min，B 组术后住院时间（3.5±0.4）d 少于 A 组（5.6±0.5）d，出血量 B 组（68.9±7.2）ml 多于 A 组（56.7±7.7）ml。差异均有统计学意义。结论腹腔镜胆囊次全切除应成为腹腔镜术者的常规理念；熟练掌握腹腔镜技术、积累一定经验后，腹腔镜胆囊次全切除可作为常规手术操作应用于临床。
目的：探討腹腔鏡膽囊次全切除術的可行性，總結睏難型腹腔鏡膽囊切除術的經驗，尤其是腹腔鏡膽囊次全切除理唸在睏難型腹腔鏡膽囊切除術中的體現及應用。方法迴顧分析我院2008年1月至2013年10月所行腹腔鏡膽囊次全切除病例，併以2011年5月為時間節點分為 A 組（節點前時段）、B 組（節點後時段）,分彆比較前後兩組的（膽囊切除實行專病專治），手術時間、術後住院時間、術中齣血量。結果 B 組手術時間（78.1±6.6）min 少于 A 組（97.5±7.3）min，B 組術後住院時間（3.5±0.4）d 少于 A 組（5.6±0.5）d，齣血量 B 組（68.9±7.2）ml 多于 A 組（56.7±7.7）ml。差異均有統計學意義。結論腹腔鏡膽囊次全切除應成為腹腔鏡術者的常規理唸；熟練掌握腹腔鏡技術、積纍一定經驗後，腹腔鏡膽囊次全切除可作為常規手術操作應用于臨床。
목적：탐토복강경담낭차전절제술적가행성，총결곤난형복강경담낭절제술적경험，우기시복강경담낭차전절제이념재곤난형복강경담낭절제술중적체현급응용。방법회고분석아원2008년1월지2013년10월소행복강경담낭차전절제병례，병이2011년5월위시간절점분위 A 조（절점전시단）、B 조（절점후시단）,분별비교전후량조적（담낭절제실행전병전치），수술시간、술후주원시간、술중출혈량。결과 B 조수술시간（78.1±6.6）min 소우 A 조（97.5±7.3）min，B 조술후주원시간（3.5±0.4）d 소우 A 조（5.6±0.5）d，출혈량 B 조（68.9±7.2）ml 다우 A 조（56.7±7.7）ml。차이균유통계학의의。결론복강경담낭차전절제응성위복강경술자적상규이념；숙련장악복강경기술、적루일정경험후，복강경담낭차전절제가작위상규수술조작응용우림상。
Objective To discuss the fessibility of laparoscopic subtotal cholecystectomy (DLC), especially the use of the idea about laparoscopic subtotal cholecystectomy(LSC). Methods A retrospective study covering LSC cases from January 2008 to October 2013 was performed,and May 2011 was time point (cholecystectomy was done by dedicated department),Operative time (OT)、postoperative hospital stay (PHS) and blood loss(BL) during two periods were compared. Results OT during latter period (78.1± 6.6)min was less than anterior(97.5±7.3)min,PHS(3.5±0.4)d during latter period was less than anterior (5.6±0.5)d,BL during latter period(68.9±7.2)ml was more than anterior(56.7±7.7)ml. The differences were statistical significance.Conclusions LSC should be a routine concept to the laparoscopic surgeons.For surgeons who expertly grasp laparoscopic tecniques,have enough experiences,LSC can be routine procedure during clinical operation.
