Liu Linxun, Zhao Zhanxue, Yang Jinyu
Department of General Surgery, Qinghai Provincial People's Hospital, Xining, China.
Front Surg. 2023 Jan 6;9:1004290. doi: 10.3389/fsurg.2022.1004290. eCollection 2022.
This study aimed to decrease the incidence of residual stones in the cystic duct and consequently decrease the incidences of intractable pain and the formation of a small gallbladder after laparoscopic cholecystectomy (LC). We changed the order of the clamps when performing LC, used the "semicut" skill of the cystic duct, and removed the stones residing in the cystic duct. A total of 45 patients underwent the operation, and all operations were completed successfully. This technique did not increase the operation time or difficulty. In conclusion, the "semicut" skill of the cystic duct is a safe and feasible surgical method that may change the occurrence of intractable pain after LC.
本研究旨在降低胆囊管残余结石的发生率，从而降低腹腔镜胆囊切除术（LC）后顽固性疼痛和小胆囊形成的发生率。我们在进行LC时改变了夹子的顺序，采用胆囊管“半切”技术，并取出位于胆囊管内的结石。共有45例患者接受了手术，所有手术均成功完成。该技术并未增加手术时间或难度。总之，胆囊管“半切”技术是一种安全可行的手术方法，可能会改变LC后顽固性疼痛的发生情况。
