Treatment for Concomitant Diseases of Other Abdominal Organs in Laparoscopic Cholecystectomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

XIONG Renhai , MO Weiming , WANG Bing , RUAN Yong , LU Jiaxin , WANG Dongyu

Therapy Center of Laparoscopy of Huangshi City， The Second Hospital of Huangshi City， Huangshi 435002， Hubei Province， China;

Corresponding author：

Keywords：

Laparoscopic cholecystectomy; Concomitant diseases; Treatment

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective 　To summarize the treatment experience for concomitant diseases of other abdominal organs in laparoscopic cholecystectomy （LC）.
Methods 　The clinical data of 176 patients with LC and concomitant diseases of other abdominal organs were analyzed retrospectively， including preoperatively diagnosed cases （such as 53 with liver cyst， 15 with choledocholithiasis， 7 with chronic appendicitis， 5 with inguinal hernia， 4 with renal cyst， and 6 with ovarian cyst） and intraoperatively diagnosed cases （such as 72 with abdominal cavity adhesion， 4 with internal fistula between gallbladder and digestive tract， 3 with Mirizzi syndrome， and 7 with unsuspected gallbladder carcinoma）.
Results 　All the operation were successfully completed in 176 patients without severe complications， including 53 cases treated with LC plus fenestration of hepatic cyst， 15 with choledocholithotomy， 7 with appendectomy， 5 with tension free hernia repair， 4 with renal cyst fenestration， 6 with oophorocystectomy， 72 with adhesiolysis， 3 with fistula resection plus intestine neoplasty， 2 with intraoperative cholangiography plus choledocholithotomy， 5 with LC plus gallbladder bed complete burning， and 4 cases treated with conversion to open surgery （1 with intestinal fistula repair， 1 with choledocholithotomy， and 2 with radical resection for gallbladder carcinoma）.
Conclusions 　It is safe and effective to treat gallbladder diseases complicated with other concomitant diseases simultaneously with laparoscopic operation， if the principles of surgical operation are followed and the indications and applicable conditions are strictly followed. And conversion to open surgery is necessary.

Citation： XIONG Renhai,MO Weiming,WANG Bing,RUAN Yong,LU Jiaxin,WANG Dongyu. Treatment for Concomitant Diseases of Other Abdominal Organs in Laparoscopic Cholecystectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2012, 19(11): 1218-1221. doi: Copy

1.	张达，甘启祥，夏时昌，等. 腹腔镜联合手术98例临床分析[J]. 中国普外基础与临床杂志， 2011， 18(8)：892-893.
2.	赵增双，任海生. 腹腔镜联合手术96例临床分析[J]. 腹腔镜外科杂志， 2009， 14(5)：392-393.
3.	张晖，王跃东，李伟，等. 腹腔镜联合手术135例报告[J]. 中国微创外科杂志， 2002， 2(6)：413-414.
4.	Pavlidis TE， Marakis GN， Ballas K， et al. Risk factors influencing conversion of laparoscopic to open cholecystectomy[J]. J Laparoendosc Adv Surg Tech A， 2007， 17(4)：414-418.
5.	窦科峰，安家泽. 意外胆囊癌的外科处理[J]. 中国实用外科杂志， 2011， 31(3)：219-220.
6.	郑成竹，胡旭光. 腹腔镜联合手术[J]. 中国实用外科杂志， 2005， 25(8)：453-454.
7.	胡晋太，王少渊. 腹腔镜联合多脏器手术18例报告[J]. 中国内镜杂志， 2000， 6(6)：30.
8.	李胜宏，陈训如，段作伟，等. 腹腔镜同时多脏器手术77例报告[J]. 中国实用外科杂志， 1998， 18(5)：32-33.
9.	赵增双. 腹腔镜联合手术中不增加切口只改变切口位置的临床价值[J]. 中国微创外科杂志， 2004， 4(6)：474-475.
10.	胡志前，王毅，周辉，等. 腹腔镜胆囊切除联合手术117例临床报告[J]. 肝胆胰外科杂志， 2007， 19(5)：276-278.
11.	陶涛，石刚，彭祥玉，等. 腹腔镜和胆道镜联合治疗胆总管结石(附523例报道)[J]. 中国普外基础与临床杂志， 2009， 16(8)：649-653.
12.	别平，何宇. 规范的胆囊癌根治术[J]. 中国实用外科杂志， 2011， 31(3)：255-257.
13.	徐波，古立诚，夏金堂，等. 腹腔镜胆囊切除术前消化道检查的必要性探讨[J]. 中国微创外科杂志， 2004， 4(1)：43-44.

1. 张达，甘启祥，夏时昌，等. 腹腔镜联合手术98例临床分析[J]. 中国普外基础与临床杂志， 2011， 18(8)：892-893.
2. 赵增双，任海生. 腹腔镜联合手术96例临床分析[J]. 腹腔镜外科杂志， 2009， 14(5)：392-393.
3. 张晖，王跃东，李伟，等. 腹腔镜联合手术135例报告[J]. 中国微创外科杂志， 2002， 2(6)：413-414.
4. Pavlidis TE， Marakis GN， Ballas K， et al. Risk factors influencing conversion of laparoscopic to open cholecystectomy[J]. J Laparoendosc Adv Surg Tech A， 2007， 17(4)：414-418.
5. 窦科峰，安家泽. 意外胆囊癌的外科处理[J]. 中国实用外科杂志， 2011， 31(3)：219-220.
6. 郑成竹，胡旭光. 腹腔镜联合手术[J]. 中国实用外科杂志， 2005， 25(8)：453-454.
7. 胡晋太，王少渊. 腹腔镜联合多脏器手术18例报告[J]. 中国内镜杂志， 2000， 6(6)：30.
8. 李胜宏，陈训如，段作伟，等. 腹腔镜同时多脏器手术77例报告[J]. 中国实用外科杂志， 1998， 18(5)：32-33.
9. 赵增双. 腹腔镜联合手术中不增加切口只改变切口位置的临床价值[J]. 中国微创外科杂志， 2004， 4(6)：474-475.
10. 胡志前，王毅，周辉，等. 腹腔镜胆囊切除联合手术117例临床报告[J]. 肝胆胰外科杂志， 2007， 19(5)：276-278.
11. 陶涛，石刚，彭祥玉，等. 腹腔镜和胆道镜联合治疗胆总管结石(附523例报道)[J]. 中国普外基础与临床杂志， 2009， 16(8)：649-653.
12. 别平，何宇. 规范的胆囊癌根治术[J]. 中国实用外科杂志， 2011， 31(3)：255-257.
13. 徐波，古立诚，夏金堂，等. 腹腔镜胆囊切除术前消化道检查的必要性探讨[J]. 中国微创外科杂志， 2004， 4(1)：43-44.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Treatment for Concomitant Diseases of Other Abdominal Organs in Laparoscopic Cholecystectomy

Abstract Full text Figures/Tables Video References Cited by

Format

Content