摘要
目的 探讨腹腔镜胆囊切除术并发症的发生原因及其预防对策。方法 采用腹腔镜胆囊切除术治疗 4 2 6例。结果 成功 4 1 9例 ,中转开腹 7例 ,平均手术时间 4 6 .5分钟 ,切口感染 2例 ,胆总管残余结石4例 ,胆漏 2例 ,无胆管损伤和术后大出血等严重并发症。结论 合理选择病例、规范的手术操作、果断及时地中转开腹 。
Objective To investigate causes of complications after laparoscopic cholecystectomy(LC) and the measures of prevention.Methods 426 LC cases were summarized.Results 419 cases were successful and only 7 cases turned to paunch operation,with an average surgical time of 46.5 minutes,among whom postoperative wound infection occurred in 2 cases,choledocholithiasis in 4 cases,and biliary fistula in 2 cases.No serious complications,such as bile duct damage and massive hemorrhage,occurred.Conclusion The proper cases,standard operation and timely paunch operation can prevent serious complications following LC.
出处
《中国综合临床》
北大核心
2004年第3期252-253,共2页
Clinical Medicine of China
关键词
腹腔镜
胆囊切除术
胆囊疾病
Laparoscope
Cholecystectomy
Gallbladder disease
