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开腹胆囊切除术

Authors
Daniel T Dempsey, MD, FACS
Shefali Agrawal, MD, FACS
Section Editor
Stanley W Ashley, MD
Deputy Editor
Wenliang Chen, MD, PhD
Translators
刘利平, 主治医师

引言

胆囊切除术是最常见的腹部外科手术之一。与开腹方法相比，首选腹腔镜胆囊切除术，因为后者已被证明具有生理、经济和美观益处。然而，当无法进行或不能安全进行腹腔镜胆囊切除术时，需进行开腹胆囊切除术。开腹胆囊切除术还可能作为另一手术(如胰十二指肠切除术)必不可少的一部分进行，或在其他胃肠手术(如结肠切除术)过程中(如果有指征)附带进行。 (参见“腹腔镜胆囊切除术”和“腹腔镜胆囊切除术的并发症”)

本专题将总结开腹胆囊切除术的技术。腹腔镜胆囊切除术将在别处详细讨论。 (参见“腹腔镜胆囊切除术”)

指征

胆囊切除术的指征包括：

●伴或不伴并发症的症状性胆石症(参见“急性结石性胆囊炎的治疗”和“成人无并发症胆石病”)。

●非结石性胆囊炎(参见“非结石性胆囊炎”)。

                             

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Literature review current through: 2017-06 . | This topic last updated: 2017-01-19.
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