摘要
目的:总结腹腔镜胆囊切除术的经验。方法:回顾分析我院2004年3月~2007年12月588例腹腔镜胆囊切除手术的临床资料。结果:全组共完成腹腔镜胆囊切除术578例,中转开腹10例,中转率为1.7%,胆管损伤1例,全部病人顺利康复,无手术死亡及其他并发症发生。结论:基层医院开展腹腔镜胆囊切除术应高度重视人员培训,选择适当病例,重视术前、术中、术后每一环节的处理,适时中转开腹,以减少并发症的发生。
Objective: To summarize the experience of laparoscopic cholecystectomy(LC). Methods: The data of 588 cases of laparoscopic cholecystectomies performed from March 2004 to December 2007 were retrospectively analyzed. Results: 578 patients underwent LC successfully, 10 patients were converted to open procedure and the conversion rate was 1.7%. The complication just included 1 case of bile duct injury. All patients were smoothly recovery. Conclusion: In primary hospital, it's the linchpin that practice the doctor strictly and choose the suitable patient to perform laparoscopic cholecys-tectomy. Convert to open procedure could be avoid severe complication.
出处
《中国医药导报》
CAS
2008年第16期168-169,共2页
China Medical Herald
关键词
胆囊切除
腹腔镜
并发症
Cholecystectomy
Laparoscopic
Complications
作者简介
罗云富(1965-),男,云南省丽江市永胜县人民医院外二科主任。副主任医师,主要从事腹腔镜及泌尿外科的研究。