Primary hospital 347 cases of laparoscopic cholecystectomy experience.doc

 PAGE \* MERGEFORMAT 6 Primary hospital 347 cases of laparoscopic cholecystectomy experience [Keywords:] Cholecystectomy, laparoscopy, basic hospital With the maturity of laparoscopic surgical techniques and surgical expansion of the scope of laparoscopic cholecystectomy (LC benign gallbladder disease has become the preferred method of treatment. General Surgery in our hospital from October 2005 to October 2007 347 cases were performed abdominal Mirror cholecystectomy, surgery went well and satisfactory, treatment of the report now follows. 1 Materials and Methods 1.1 Clinical data 347 cases of this group of patients, 81 patients were male, female 266 cases, aged 16 to 79 years old, average 45.2 years old. Gallbladder polyps in 41 cases, 303 cases of gallstones, chronic cholecystitis in 3 cases. 27 cases of acute gallstone the gallbladder neck or cystic duct stones in 15 cases. 27 cases of abdominal surgery, including appendectomy in 8 cases, 5 cases of hysterectomy, cesarean section in 11 cases, 2 cases of gastrointestinal surgery, 1 patient with esophageal cancer surgery. 1.2 Procedures Conventional tracheal intubation, general anesthesia, the establishment of CO2 pneumoperitoneum (pressure 12 ~ 14 mmHg. Treatment of 315 patients with four holes, three holes in 32 cases. Intraoperative enlargement of the gallbladder and the higher tension of first decompression, carefully dissected calot Triangle, cystic artery for 1 ~ 2 titanium clip, enlarged cystic duct using medium or large titanium clip titanium clips or folder ladder facilities can also be used silk ligation. intraoperative severe operational difficulties encountered inflammation, gallbladder bile overflow rupture , leakage, etc. when the stones placed in the right hepatic shunt. this group of 12 patients with indwelling drainage tubes were removed at 3 d after. 2 Results The group of 347 cases of 342 patients in the operation was successful, the operation time 20 ~ 130 min, a