腹腔镜胆囊次全切除术的应用体会OA

Objective:To explore the application value of laparoscopic subtotal cholecystectomy when laparoscopic cholecys-tectomy is associated with a high risk of injury.Methods:The clinical data of 47 patients who were converted to laparoscopic subtotal cholecystectomy due to high risk of vascular and bile duct injury during laparoscopic cholecystectomy from Jan.2016 to Jan.2026 were retrospectively analyzed.The surgical conditions,prognosis and complications were summarized and analyzed.Results:All 47 patients completed the operation successfully.The operative time was 64～132 min,with an average of(83.5±25.4)min;the intraoperative blood loss was 15～90 mL,with an average of(28.4±18.5)mL.The postoperative hospital stay was 5～9 d,with an average of(5.5±1)d.All patients were followed up by telephone for 4～26 months,with an average of(14.2±8.7)months.Postoperative complications in-cluded bile leakage in 5 patients,residual common bile duct stones in 3 patients,and gallbladder stump inflammation with calculi in 1 patient.No jaundice,hemorrhage or fever occurred after operation.Conclusions:Laparoscopic subtotal cholecystectomy is a safe,fea-sible and effective surgical procedure when anatomical difficulties and high risks of vascular and bile duct injury are encountered during laparoscopic cholecystectomy.