CAJ | 학술논문

目的：探讨后三角入路及顺逆结合法腹腔镜胆囊切除术的手术方法及胆道损伤的防治策略。方法：回顾分析2012年6月-2014年12月使用后三角入路及顺逆结合法行腹腔镜胆囊切除425例的临床资料。结果：403例患者完成腹腔镜手术，22例患者中转开腹胆囊切除术/胆道探查术，所有患者均痊愈出院，无胆漏、胆道损伤、胆道狭窄等并发症发生。结论：后三角入路及顺逆结合法腹腔镜胆囊切除术是一种安全可靠的手术方法，值得临床推广应用。
목적：탐토후삼각입로급순역결합법복강경담낭절제술적수술방법급담도손상적방치책략。방법：회고분석2012년6월-2014년12월사용후삼각입로급순역결합법행복강경담낭절제425례적림상자료。결과：403례환자완성복강경수술，22례환자중전개복담낭절제술/담도탐사술，소유환자균전유출원，무담루、담도손상、담도협착등병발증발생。결론：후삼각입로급순역결합법복강경담낭절제술시일충안전가고적수술방법，치득림상추엄응용。
Objective:To investigate how to avoid biliary duct injury caused by posterior Calot triangle approach(PCTA) and combined antegrade and retrograde laparoscopic cholecystectomy(LC). Method:To retrospectively analyze 425 cases with laparoscopic cholecystectomy by posterior Calot triangle(PCTA)and combined antegrade and retrograde approach from June 2012 to December 2014. Result:403 cases underwent laparoscopic cholecystectomy by posterior Calot triangle(PCTA)and combined antegrade and retrograde approach,22 cases were converted to open cholecystectomy. No biliary duct injury and other complications occurred in all cases. Conclusion:Laparoscopic cholecystectomy by posterior Calot triangle(PCTA)and combined antegrade and retrograde approach is safe,effective and has potential to expand its indication in clinical therapy.