摘要
目的 探讨腹腔镜胆囊切除术并发症发生的原因及预防处理。 方法 回顾分析我院 1991年 3月～ 2 0 0 3年 7月行LC的 132 78例的临床资料。 结果 发生并发症 110例 ( 0 83% )。其中胆管损伤 19例 ( 0 14 % ) ,胆漏 37例 ( 0 2 8% ) ,胆总管残余结石 31例 ( 0 2 3% ) ,腹腔出血 4例 ( 0 0 3% ) ,胃肠道损伤 5例 ( 0 0 4 % ) ,腹腔内脓肿 3例 ( 0 0 2 % ) ,切口感染及切口疝6例 ( 0 0 5 % ) ,严重皮下气肿 5例 ( 0 0 4 % )。死亡 5例 ( 0 0 4 % )。 结论 胆管损伤、胆漏和胆总管残余结石是LC的主要并发症 。
Objective To focus on the causes and management of complications after laparoscopic cholecystctomy (LC). Methods A retrospective analysis of clinical records of 13 278 patients undergoing LC in this hospital from March 1991 to July 2003 was made. Results Complications occurred in 110 patients (0.83%), involving 19 cases of bile duct injuries (0.14%), 37 cases of bile leakage (0.28%), 31 cases of residual calculi in common bile duct (0.23%), 4 cases of intraabdominal hemorrhage (0.03%), 5 cases of gastrointestinal injury (0.04%), 3 cases of intraabdominal abscess (0.02%), 6 cases of incisional infection or hernia (0.05%) and 5 cases of serious subcutaneous emphysema (0.04%), respectively. Five patients died (0.04%). Conclusions The major complications after LC include bile duct injury, bile leakage and residual calculus. Most of complications are preventable and curable.
出处
《中国微创外科杂志》
CSCD
2004年第6期457-459,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
腹腔镜
胆囊切除术
并发症
Laparoscopy
Cholecystectomy
Complication
