不分离离断胆囊动脉主干的腹腔镜胆囊切除术在急性结石性胆囊炎治疗中的应用

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Abstract Objective To investigate the safety and clinical efficacy of laparoscopic cholecystectomy using the technique of non-separation and non-disconnection of the trunk of the cystic artery in the treatment of acute calculous cholecystitis.Methods From October 2015 to March 2017,the clinical data of 84 patients undergone laparoscopic cholecystectomy due to acute calculous cholecystitis in our hospital were retrospectively analyzed.The age,sex,operation time,intraoperative amount of bleeding,hospital stay after surgery,and occurrence of postoperative complications were extracted.In observation group(n=42),laparoscopic cholecystectomy using the technique of non-separation and non-disconnection of the trunk of the cystic artery was adopted,while in the control group(n=42),regular laparoscopic cholecystectomy was used.Results Patients in the two groups were all successfully finished the operation without transfering to laparotomy.There was no significant difference in age，sex，operation time,or hospital stay after surgery between the two groups(P＞0.05).The bleeding during surgery in the observation group was less compared with that in the control group(t=4.75,P＜0.05）.The total incidence of postoperative complications was significantly lower in the observation group in comparison with that in the control group(t=7.26,P＜0.05）.Conclusion Application of laparoscopic cholecystectomy using the technique of non-separation and non-disconnection of the trunk of the cystic artery to treat acute calculous cholecystitis can effectively reduce the occurrence of bleeding during and after surgery as well as postoperative complications,which is worthy of promotion in clinic.

Key words： Acute cholecystitis Trunk of cystic artery Laparoscope Cholecystectomy

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	LI Zheng-chen
	LIU Yang-sui
	ZHANG Xin-hui

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LI Zheng-chen,LIU Yang-sui,ZHANG Xin-hui. Application of laparoscopic cholecystectomy using the technique of nonseparation and non-disconnection of the trunk of the cystic artery in the treatment of acute calculous cholecystitis[J]. 中国当代医药, 2017, 24(28): 18-20.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I28/18

[1]	傅贤波.遵循循证医学原则发展我国微创外科[J].中国微创外科杂志，2010，10（1）：1-2.
[2]	Hannan MJ.Laparoscopic cholecystectomy without handling the cystic artery：a new approach to minimize complications[J].J Laparoendosc Adv Surg Tech A，2011，21（10）：983-986.
[3]	符国珍，吕明，宋文渊，等.腹腔镜胆囊切除术左侧进路不分离断离胆囊动脉主干技术的临床研究[J].中华肝胆外科杂志，2015，21（12）：826-829.
[4]	张晓宇，郑大荣，唐敏，等.腹腔镜下保胆取石术与胆囊切除术治疗老年胆囊结石的比较分析[J].肝胆外科杂志，2015，28（9）：1196-1198.
[5]	Karakus OZ，Hakgüder G，Ates O，et al.Cholecystectomy conducted with single-port incisionless-intracorporeal conventional equipment-endoscopic surgery[J].J Laparoendosc Adv Surg Tech A，2013，23（8）：728-732.
[6]	柴长鹏，徐广甍，宋晓伟，等.腹腔镜胆囊切除术中意外胆囊癌的诊治[J].中华肝胆外科杂志，2014，20（9）：659-661.
[7]	Bulus H，Basar O，Tas A，et al.Evaluation of three instruments for laparoscopic cholecystectomy：harmonic scalpel，bipolar vessel sealer，and conventional technique[J].Minerva Chir，2013，68（6）：537-542.
[8]	宗明，汤朝晖.腹腔镜胆囊切除术血管损伤的原因探讨（附33584例报道）[J].中国微创外科杂志，2002，2（1）：44-45.
[9]	柳己海.急性结石性胆囊炎腹腔镜胆囊切除术手术时机的选择及中转开腹影响因素分析[J].中国全科医学，2013，16（3）：260-263.
[10]	王公明.急性结石性胆囊炎腹腔镜手术时机及中转开腹的相关因素分析[J].山东医药，2011，51（23）：104-105.
[11]	赵玉龙，丁海.急性胆囊炎腹腔镜手术时机的选择[J].中国微创外科杂志，2012，12（3）：202-204.
[12]	包文中，汤大纬，周高潮，等.老年急性结石性胆囊炎不分离离断胆囊动脉主干左侧入路LC术的临床效果观察[J].肝胆外科杂志，2016，24（2）：110-112.
[13]	包文中，孟翔凌，李良，等.胆囊结石合并急性胰腺炎患者早期腹腔镜胆囊切除术的临床疗效[J].中华肝胆外科杂志，2014，20（2）：89-91.
[14]	姚红华.70岁以上老人胆石伴急性感染的腹腔镜手术时机和方法[J].肝胆胰外科杂志，20ll，23（3）：24l-243.
[15]	程鑫，陈心怡，甘有均.电凝法处理胆囊动脉在腹腔镜胆囊切除术中的应用[J].中国微创外科杂志，2014，（7）：667-668.