关键词: 胆囊切除术，腹腔镜, 胆囊动脉

Abstract: Objective To evalue the subserosal treatment of cystic artery for laparoscopic cholecystectomy in clinical application. Methods From January 2008 to October 2011,in 169 cases of LC, subserosal treatment of cystic artery branch which come into gallbladder wall was carried out after dissection of cystic duct and anterograde dissociation adjoin to the gallbladder wall. Treatment of the cystic artery included coagulation hook in 113 cases, ultrasonic Scalpel in 39 cases, Ligasure in 8 cases, titanium clip in 5 case and clip with Hem-O-Lok in 4 cases in which the cystic artery lined with the cystic duct was clipped together with the lined cystic duct. Results The procedure was completed in 169 of the cases under laparoscope. 8 cases underwent laparoscopic common bile duct exploration, T tube drainage of common bile duct at the same time. The operation time of the cases ranged from 25 to 205 min( mean, 43 min). The blood loss ranged from 5 to 250 mL ( mean, 10 mL ). It showed the cystic artery in the Calot`s tiangle that were originated from the right hepatic artery in 65cases and other artery in 104 cases that were treated with its branches, not search its source. Postoperative hospital stay was ranged from 1 to 12 days( m ean, 4.3 days ), 169 cases were followed up for 2 to 18 months ( mean, 8 months ). No abdominal hemorrhage or biliary injury occurred in all patients. Conclusions Subserosal treatment of cystic artery for laparoscopic cholecystectomy is more consistent with the concept of security and minimal invasion,and we recommend it as a promising technique for the operation.

Key words: cholecystectomy, laparoscopic, cystic artery