摘要
目的:总结腹腔镜胆囊切除术(LC)的经验。方法:回顾性分析127例在我院行LC患者的胆囊特点、手术方法、术后恢复情况、开腹原因及预后等。结果:全组病人中有副肝管损伤1例,剑突下切口感染3例,中转开腹4例(占全组3.1%),均治愈出院,无手术后死亡。结论:LC是安全可靠的。为减少LC的并发症,提高手术成功率,应注意病例选择、术前准备、术中注意事项、中转开腹指征、引流管放置及出血处理几个方面。
Objective： To sum up the experience of 127 laparoscopic cholecystectomy. Methods： 127 cases were retrospectively analyzed, including cystic features, surgical methods, postoperative recovery, prognosis and reasons for converting to laparotomy. Results： Complications including 1 case of accessory hepatic duct injury, 3 cases of xiphoid incision infection, four cases of conversion （3.1% ） , all patients were cured and discharged. No post-operative death occurred. Conclusion： Laparoscopie cholecystectomy is safe and reliable. In order to reduce abdominal complications of laparoscopic surgery and to improve the success rate of surgery, attention should be paid to the selection of cases, preoperative preparation, intraoperative management, drainage placement and bleeding treatment.
出处
《现代医学》
2010年第2期162-164,共3页
Modern Medical Journal
