摘要
目的:为减少腹腔镜胆囊切除术的并发症,提高手术安全性和疗效。方法:回顾性分析1998年1月至2006年12月2410例腹腔镜胆囊切除术(LC)的临床资料。结果:2410例中胆囊息肉218例,胆囊结石2185例,结石伴胆囊息肉96例。共发生并发症86例,占3.57%,其中胆管损伤4例,出血15例,胆漏26例,刺口感染13例,术后胆囊床积液15例,术后腹腔内感染2例,均有效处理后痊愈。结论:从严掌握LC手术适应证、提高腹腔镜操作技术和及时中转手术对LC严重并发症的防治具有重要意义。
Objective: To decrease the incidence of complications and improve the safety and effect of laparoscopic cholecystectomy (LC). Methods: The data of 2410 patients performed LC from Jan 1998 to Dec 2006 was analyzed retrospectively. Results: 218 cases were diagnosed as gallbladder polyps, 2185 cholelystolithiasis and 96 cholelystolithiasis incorporated gallbladder polyps. 86 patients were converted from LC to OC. The complication rate was 3.57%. The complications included extrahepatic bile ducts injury (4cases) , bleeding ( 15cases) , bile leakage (26cases),trocar sites infection (13cases),fossa of gallbladder amassing liquid (15cases) ,intraperitoneal infection (2cases). All cases were cured. Conclusion: Adaptation of LC should be controlled strictly, proper conversion to laparotomy can mutually reduce the incidence rate of bile duct injury.
出处
《岭南急诊医学杂志》
2009年第2期111-112,共2页
Lingnan Journal of Emergency Medicine
