摘要
目的 减少腹腔镜胆囊切除术的并发症，增加其手术安全性。方法 回顾分析1997年11月-2005年11月710例LC资料。结果 本组病例中，胆囊结石598例，其中急性发作32例，胆囊息肉112例。中转20例，占2．8％，发生并发症15例，点2．1％，包括出血7例，胆道损伤2例，胆漏3例，胆囊管残余结石2例，切口出血1例，1例胆道损伤术后7个月死亡。结论 为减少并发症，提高安全性，应掌握好LC手术适应症，胆道损伤是最严重的并发症，遇Calot三角解剖困难应及时中转开腹手术。术中出血为紧急并发症之一，如短时间内不能有效止血，应立即中转开腹手术。
Objcctive To decrease the rate of complications and increase the safety of the operation. Methods The data from 710 cases who undergone laparoscopic cholecystectomy betweem November 1997 and November 2005 was analyzed retrospectively. Results Among the group, 598 cases were diagnosed as the gallbladder stone including 32 cases wiht acute episode and 112 casas with gallbladder polyps. 20 cases （ 2. 8% ） were converted from laparoscopic cholecystectomy to laparotomy. The rate of complication was 2. 1% （15 cases）. The complications included bleeding （7 cases）, extrahepatic bile duct ingjury （2 cases） and bile leuleage（ 3 cases）. One patient with bile lealeage died on seventh month postoperatively. Others were cured. Conclusion To decreasa the rate of compliacations and improve the satety of laparoscopie cholecystectomy,the adaptation of LC should be choiced carefully. Extreobepatic bile duct injury is the most serious complication. If the anatomy of Calot＇s triangle was difficult, laparotomy should be done timely. Bleeding operation is the emergency situation. If it couldn＇t be stopped in short time, laparotomy should be done at once.
出处
《肝胆外科杂志》
2006年第3期199-200,共2页
Journal of Hepatobiliary Surgery
