在腹腔镜胆囊切除术中结扎胆囊管。
Ligating the cystic duct in laparoscopic cholecystectomy.
作者信息
Saha S K
机构信息
Department Of Surgery, West Wales Hospital, Carmarthen, Dyfed, United Kingdom.
出版信息
Am J Surg. 2000 Jun;179(6):494-6. doi: 10.1016/s0002-9610(00)00391-3.
BACKGROUND
In laparoscopic cholecystectomy, bile leak from the cystic duct stump is a recognised postoperative complication. This could be due to dislodgement of the metal clips. Migration of the clip is an added problem.
METHODS
Since 1995, 70 patients were included in the study of intracorporeal cystic duct ligation in laparoscopic cholecystectomy. Construction of a ligature is a single handed procedure using a free end of the thread. It is quite different from the other two methods described in the literature.
RESULTS
There was not a single case of postoperative morbidity in these patients, but in a retrospective study, postoperative biliary dyspepsia with fatty food was evident in a few patients among those cases in which the liga-clips were applied to the cystic duct.
CONCLUSION
The cystic duct ligation with absorbable thread should be a gold standard in laparoscopic cholecystectomy. It reduces the risk of postoperative morbidity.
背景
在腹腔镜胆囊切除术中，胆囊管残端胆汁漏是一种公认的术后并发症。这可能是由于金属夹移位所致。夹子的迁移是一个额外的问题。
方法
自1995年以来，70例患者纳入了腹腔镜胆囊切除术中体内胆囊管结扎的研究。结扎线的构建是使用线的自由端的单手操作。它与文献中描述的其他两种方法有很大不同。
结果
这些患者中没有一例术后发病，但在一项回顾性研究中，在那些将结扎夹应用于胆囊管的病例中，少数患者术后出现了进食油腻食物后的胆汁消化不良。
结论
可吸收线胆囊管结扎术应成为腹腔镜胆囊切除术的金标准。它降低了术后发病的风险。
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