摘要
作者采用中文生物学期刊数据库（ＣＭＣＣ）资料、第六届全国胆道外科学术会议资料及本院资料分析统计了国内９１家医院１９９４年４月至１９９５年１１月期间的３９２３８例腹腔镜胆囊切除术，其中包括４０９例严重并发症；有胆总管损伤１２６例（０．３２％），胆囊管瘘４３例（０．１１％）及胆瘘８０例（０．２０％）；腹腔内脓肿２６例（０．０７％）和胃肠道损伤２５例（０．０６％）；术后腹腔出血４０例（０．０１％）；因手术并发症死亡１４例（０．０４％）。结果表明，近年腹腔镜胆囊切除术的并发症和死亡率都有明显的下降。但是胆总管损伤的比例较高，术中解剖不清误伤胆总管和电灼伤的问题比较明显。另外胆囊管处理技术还需要进一步改进。
All Chinese articles published from November 1995 through April 1994 about laparoscopic cholecystectomy were identified through CMCC.From 600 titles,105 were read and left for analysis.Other 21 articles were from the 6th Biliary Surgical Congress and this hospital.Severe complications of laparoscopic cholecystectomy were identified in 409 patients(04%),bile duct injury accounted for 032%,postoperative cystic duct leak and bile leak for 011% and 020% respectively.Peritoneal abscess and bowel injury occurred in 007% and 006% of cases, and postoperative hemorrhages were identified in 01% of the cases.Fourteen(004%) postoperative deaths resulted from operative injury.The data demonstrate that laparoscopic cholecystectomy is an operation which associated with low morbidity and mortality.But bile duct injury is still a problem,and complications of laparoscopic cholecystetomy can be minimized by improving operative procedure.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1997年第11期654-656,共3页
Chinese Journal of Surgery
关键词
胆囊切除术.腹腔镜
手术后并发症
Cholecystectomy,laparoscopic Postoperative complications
