摘要
目的总结腹腔镜胆囊切除术的体会。方法全部400例经 B 超检查明确诊断,并属手术适应证,其中56例行ERCP 检查。均在静脉麻醉或吸入麻醉及人工 CO_2气腹下施术。结果并发证率(为总肝管损伤,经开腹手术治愈)0.5%,中转手术率2.25%。平均住院7d。结论腹腔镜胆囊切除术适用于绝大多数胆囊结石,安全可靠,及时中转手术为其提供了保障。急性胆囊炎和并发胆总管结石已不是腹腔镜胆囊切除术的禁忌证。胆管损伤是其重要并发症。
AIMS To summarize the experience of laparoscopic cholecystectomy. METHODS Diagnosis and operative indication were all determined by ultrasonography in 400 patients,among them 56 patients were exam- ined by ERCP.All the patients were operated under intravenous or in- halation anesthesia and artificial CO_2 pneumoperitoneum. RESULTS Complication rate(common hepatic duct injury cured by open operation)was 0.5%.Altering into open cholectstectomy rate was 2.25%.Average time of hospitalization was seven days. CONCLUSIONS Laparoscopic cholecystectomy can be applided to most patients with cholelithiasis.It's safe and reliable.Patients with acute cholectstitis and choledocholithiasis are not contraindications.Bile duct injury is an important complication of laparoscopic cholectstectomy.
关键词
腹腔镜
胆囊切除
laparoscopy
cholecystectomy
cholelithiasis
choledocholithiasis
bile duct/injury
