Laparoscopic cholecystectomy in the treatment of gallbladder Triangle.docVIP

 PAGE \* MERGEFORMAT 9 Laparoscopic cholecystectomy in the treatment of gallbladder Triangle [Keywords:] Laparoscopy; cholecystectomy; gallbladder Triangle Laparoscopic cholecystectomy (LC) in the treatment of gallbladder triangle is the most critical step, many of intraoperative injury, postoperative complications, are mishandling of the relevant triangle with the gallbladder [1], in particular, there is fat accumulation in the Triangle or dense adhesions due to inflammation, the more susceptible to injuries. I hospital in the past 3 years, laparoscopic cholecystectomy were 1 267 cases are as follows. 1 Clinical data This group of patients, 413 cases of male and female 854 cases, aged 16 to 78 years, mean age 52.6 years, duration of 1 month to 25 years, chronic cholecystitis 1 095 cases, 63 cases of acute onset, gallbladder polyps , 109 cases of cholesterol crystals. 76 cases of hypertension, coronary heart disease in 23 cases, 31 cases of liver cirrhosis, diabetes mellitus in 49 cases, 4 cases of cerebral infarction sequela. a history of abdominal surgery on 12 patients, 78 cases of lower abdominal surgery. All operations were carried out under general anesthesia .8 were converted to laparotomy, 6 cases of frozen samples due to adhesion of the gallbladder can not be separated triangular, 1 case due to intraoperative findings of common bile duct transection, and 1 patient with cystic artery bleeding, stump back reduction, failure of endoscopic hemostasis. reoperation in 3 cases, 1 case of right hepatic duct due to burns, postoperative bile leakage, reoperation set T tube drainage, peritoneal drainage were cured, 1 case of common bile duct wall titanium clip to be clipped, Postoperative jaundice, operation to remove the titanium clip again, re-ligation of the cystic duct, set T tube drainage, and 1 patient with cone xiphoid puncture falciform ligament damage blood vessels, postoperative intra-abdominal bleeding, abdominal surgery to stop bleeding ag