| 摘要: |
| ［摘要］ 目的 探讨胆囊部分切除术治疗胆囊疾病的临床效果。方法 回顾分析1998-09～2009-11施行胆囊部分切除术62例病人的临床资料。结果 全组病例均痊愈，切口感染9例，术后并发胆漏3例，肺部感染7例，肺不张2例。住院时间9～31 d，平均17 d。随访6个月～3年，无症状复发，效果满意。结论 当胆囊切除有困难时，行胆囊部分切除术是简便而又安全可行的术式，既能够达到胆囊切除的目的，又能减少肝外胆管和血管损伤;但必须严格掌握适应证，正确处理胆囊残余部分。 |
| 关键词: 胆囊疾病 胆囊切除术 胆囊部分切除术 |
| DOI：10.3969/j.issn.1674-3806.2011.09.13 |
| 分类号:R 657.4 |
| 基金项目: |
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| Clinical study of the part-cholecystetomy:report of 62 cases |
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FENG De-liang
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Xintai Second People′s Hospital, Shandong 271219,China
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| Abstract: |
| ［Abstract］ Objective To explore the clinical effect of part-cholecystetomy in the treatment of disease of gallbladder. Methods The data of 62 patients undergoing part-cholecystetomy from September 1998 to November 2009 were collected and analyzed retrospectively. Results All of the 62 patients were healed. Incision infection occurred in 9 patients, postoperative leakage of bile occurred in 3 patients, pulmonary infection occurred in 7 patients. The average time of hospitalization was 17 days (range 9～31 days). Follow - up lasted three months to three years. Their symptoms had no recurrence. All patients got satisfying effect. Conclusion While there are difficulties in cholecystectomy, part-cholecystetomy is a simple safe and feasible method. It not only can achieve the purpose of cholecystectomy, but also can reduce the injuries of extrahepatic bile duct and blood vessel. We must strictly master the indication and manage residue of cystic duct correctly. |
| Key words: The disease of gallbladder Cholecystetomy Part-cholecystetomy |
