腹腔镜胆囊切除术Calot三角的解剖变异及处理

Treatment and anatomic variation of Calot’ triangle in laparoscopic cholecystectomy

关键词:  胆囊切除术  腹腔镜  Calot三角

Key words:  cholecystectomy  laparoscopic  calot' triangle

摘要:

［目的］通过对腹腔镜胆囊切除术（LC）中Calot三角的解剖变异的观察和处理方法总结，减少LC手术并发症。［方法］回顾分析146例LC患者Calot三角的解剖变异及处理方法。［结果］胆囊管异常占19.86%，胆囊动脉数目异常占9.6%、走行异常占18.49%，胆囊缺如占0.69%，成功进行了144例腹腔镜胆囊切除。成功率为98.6%，中转开腹率为1.4%。［结论］正确分析处理胆囊管和胆囊动脉解剖变异是减少并发症的关键。

Abstract:

［Objective］By observing the anatomic variation of Calot＇triangle and summarizing the treatment methods introduced in laparoscopic cholecystectomy(LC), to discuss how to decrease the complication of the LC. ［Methods］The anatomic variation of calot＇triangle and treatment methods from 140 cases who undergone LC was analyzed retrospectively.［Results］Rate of cystic duct abnormality was 19.86%；rate of cystic artery number abnormality was 9.6%；rate of cystic artery circulation abnormality was 18.49%；rate of absence of gall bladder was 0.69%.LC was successfully performed in 144 patients with the rate of 98.6%.The rest cases were converted to open abdominal operations midway with a rate of 1.4%.［Conclusions］Correctly analyzing and dealing with the abnormality of cystic duct and cystic artery are the key point of decreasing complication.