Application of retrograde dissection of the cystic duct in 1 460 cases of laparoscopic cholecystectomy
- VernacularTitle:胆囊管逆行分离法在1460例腹腔镜胆囊切除术中的应用
- Author:
Xiaohui LIU
;
Guiliang LI
;
Guangmei LU
- Publication Type:Journal Article
- Keywords:
Retrograde dissection of the cystic duct;
Laparoscopic cholecystectomy
- From:
Chinese Journal of Minimally Invasive Surgery
2005;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study a safe and effective method for the dissection of the cystic duct under laparoscope.Methods Laparoscopic cholecystectomy was performed in 1 460 cases,by using the retrograde dissection of the cystic duct,from December 2002 to December 2005 in this hospital. Results The laparoscopic cholecystectomy was successfully completed in 1 442 cases,with an operation time of 15~100 min(mean, 42 min).A conversion to open surgery was required in 18 cases(1.23%).Complications included 5 cases of bile duct injury(0.34%),3 cases of intraabdominal hemorrhage(0.21%),and 3 cases of biliary leakage(0.21%).Follow-up for 2~24 months(mean,11.8 months) found 2 cases of residual calculi in the common bile duct.Conclusions The retrograde dissection of the cystic duct during laparoscopic cholecystectomy is a safe method and simple to perform.
