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急性炎症期腹腔镜胆囊切除术的风险评估

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摘要 目的:探讨急性炎症期腹腔镜胆囊切除术的可行性,安全性及适应证。方法:对我院自2000年1月~2006年12月收治的49例急性炎症期腹腔镜胆囊切除术的临床资料进行回顾性分析。结果:49例患者均安全完成手术,无1例死亡,中转开腹3例,中转率为6.12%。急性炎症期腹腔镜胆囊切除术存在黏连,水肿,胆囊三角暴露不充分,处理胆囊床风险较高,肝门结构分辨和分离困难等5类问题。结论:急性炎症期腹腔镜胆囊切除术是安全可行的,正确处理胆囊三角是降低LC并发症及中转开腹率的有效措施。
出处 《南通大学学报(医学版)》 2008年第5期407-408,共2页 Journal of Nantong University(Medical sciences)
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