Objective
To explore the value for localization of cystic lymph node in laparoscopic cholecystectomy.
Methods
Clinical data of 100 cases who underwent laparoscopic cholecystectomy in Affiliated Hospital of Southern Medical University and The Third Division Hospital of Xinjiang Production and Construction Corps were collected to analyze retrospectively, for exploring the relationship of localization of cystic lymph node, cystic artery, cystic duct, and liver door.
Results
Of the 100 cases, 81 cases (81.0%) were found lymph node, in which 76 cases (76.0%) were found 1 lymph node and 5 cases(5.0%) were found lymph node more than 1, the other 19 cases(19.0%) were not found lymph node. Of the 76 cases who were found only 1 lymph node, lymph nodes were located above the anterior branch of cystic artery in 48 cases, below the anterior branch of cystic artery in 21 cases, and adjacent to the posterior branch of cystic artery in 7 cases. The operation was successful in all patients without death, of which 3 cases were transferred to laparotomy. The operation time were (43.0±6.5) min (25-116 min), and hospital stay after operation were (3.0±0.6) days (2-6 days). No serious complications of bile leakage, bile duct injury, and death happened after operation, and all cases were cured and discharged.
Conclusion
Cystic lymph node in the calot triangle is in relatively fixed position of laparoscopic cholecystectomy, it can help to guide judging anatomical hepatic portal region of each organization structure, and can to confirm the location of cystic artery and cystic duct, which is helpful to prevent injury during the operation of laparoscopic cholecystectomy.
Citation：
ZHANGWei-yao, RAOZhi, PANLei. Study of Cystic Lymph Node as A Location Sign in Laparoscopic Cholecystectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(9): 1134-1137. doi: 10.7507/1007-9424.20140272
Copy
Copyright ? the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
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- 2. 曹月敏.腹腔鏡膽囊切除術膽管損傷的預防、診斷與治療[J]. 中國微創外科雜志, 2005, 5(11):960-961.
- 3. 吳孟超, 吳在德.黃家駟外科學[M]. 第7版.北京:人民衛生出版社, 2008:1784-1800.
- 4. 陳訓如, 田伏洲, 黃大熔.微創膽道外科手術學[M]. 北京:軍事醫學科學出版社, 1988:530.
- 5. 黃志強.肝臟外科手術學[M]. 北京:人民軍醫出版社, 1996:27.
- 6. 沈魁, 何三光.實用普通外科手術學[M]. 遼寧:遼寧教育出版社, 1988:530.
- 7. 王殿臣, 董永紅, 陳智, 等.三結構確認膽囊管在預防腹腔鏡膽囊切除術膽管損傷中的價值[J]. 中華醫學雜志, 2009, 89(6):406-408.
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