目的 探讨腹腔镜胆囊切除术中避免胆管损伤新方法的安全性。
方法 回顾性分析2008年1月至2012年1月期间笔者所在医院采用Rouviere沟引导定位的方法进行腹腔镜胆囊切除术患者的临床资料,并在手术时间和术后并发症发生率方面与同期传统手术组病例相比较。
结果 与传统手术组比较,Rouviere沟引导组患者的手术时间缩短,术后并发症发生率及中转开腹率降低,其差异均有统计学意义(P<0.05)。
结论 采用Rouviere沟引导定位法进行腹腔镜胆囊切除术能有效缩短手术时间,减少胆管损伤的发生概率,值得在临床推广应用。
Citation:
沈丰,吴红伟,孙少华,胡洪生,方大正,陈会彬,周文波. Application Value of Rouviere Groove Guide Positioning in Laparoscopic Cholecystectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2013, 20(7): 804-805. doi:
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de Reuver PR, Sprangers MA,Rauws EA,et al. Impact of bileductinjury after laparoscopic cholecystectomy on quality of life:a longitudinal study after multidisciplinary treatment[J]. Endoscopy,2008,40(8):637-643.
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Hugh TB. New strategies toprevent laparoscopic bile duct injury—surgeons can learn from pilots[J]. Surgery, 2002, 132(5):826-835.
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刘允怡. 肝切除与肝移植应用解剖学[M]. 北京:人民卫生出版社, 2010: 63-65.
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Giger U, Ouaissi M,Schmitz SF,et al. Bile duct injury and use of cholangiography during laparoscopic cholecystectomy[J]. Br J Surg,2011,98(3):391-396.
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Singh K,Ohri A. Anatomic landmarks:their usefulness in safelaparoscopic cholecystectomy[J]. Surg Endosc,2006,20(11): 1754-1758.
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蔡华杰, 叶百亮, 韩宇, 等. 腹腔镜胆囊切除术中Rouviere解剖定位及其应用价值研究[J]. 中国实用外科杂志, 2012,32(3):229-231.
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- 1. de Reuver PR, Sprangers MA,Rauws EA,et al. Impact of bileductinjury after laparoscopic cholecystectomy on quality of life:a longitudinal study after multidisciplinary treatment[J]. Endoscopy,2008,40(8):637-643.
- 2. Andersson R,Eriksson K,Blind PJ,et al. Iatrogenic bile duct injury—a cost analysis[J]. HPB (Oxford), 2008, 10(6):416-419.
- 3. Hugh TB. New strategies toprevent laparoscopic bile duct injury—surgeons can learn from pilots[J]. Surgery, 2002, 132(5):826-835.
- 4. 刘允怡. 肝切除与肝移植应用解剖学[M]. 北京:人民卫生出版社, 2010: 63-65.
- 5. Giger U, Ouaissi M,Schmitz SF,et al. Bile duct injury and use of cholangiography during laparoscopic cholecystectomy[J]. Br J Surg,2011,98(3):391-396.
- 6. Singh K,Ohri A. Anatomic landmarks:their usefulness in safelaparoscopic cholecystectomy[J]. Surg Endosc,2006,20(11): 1754-1758.
- 7. 蔡华杰, 叶百亮, 韩宇, 等. 腹腔镜胆囊切除术中Rouviere解剖定位及其应用价值研究[J]. 中国实用外科杂志, 2012,32(3):229-231.