摘要
目的:探讨腹腔镜胆囊切除术(LC)的处理方式和预防并发症的措施。方法:对1054例LC的临床资料进行回顾性分析。其中慢性胆囊炎合并胆囊结石(733例,占69.6%);急性胆囊炎伴胆囊结石(321例,占30.4%)。中转开腹手术16例,占1.5%。结果:本组患者无手术并发症发生,均痊愈出院。结论:LC是治疗胆囊疾病的最佳选择,但操作技术仍然较复杂,胆总管损伤的发生率较高。细致地操作可以减少胆管损伤的发生。规范化的手术操作,灵活运用LC的处理技巧,正确判断及时中转开腹可以有效地防止并发症的发生。LC是胆囊结石治疗的首选,是安全可行的。
Objective： To study the strategy of LC operation and approaches preventing its complications. Methods： Retrospective analysis of 1 054 cases of patients who underwent LC . Chronic cholecystitis complicated with cholelithiasis （n =773,69. 6%） ; acute cholecystitis complicated with cholelithiasis （n = 321,30. 4%） ; opening surgery （n = 16, 1. 5% ） . Results： All patients recovered uneventfully. Conclusions： Laparoscopic cholecystectomy （LC） is one most frequently used option for gallbladder disorders,but it is associated with risk of common bile duct damage and other complications. Careful operation with intraoperative biliary angiography can reduce the risk of bile duct damage. Standardized procedure with flexible management of device and appropriate decision for opening surgery is effective to prevent complications. LC is the preferred and safe therapeutic option for the cholelithiasis.
出处
《航空航天医药》
2010年第9期1564-1566,共3页
Aerospace Medicine
关键词
胆囊切除术
腹腔镜
Cholecystectomy
laparoscopic
