摘要
目的研究腹腔镜胆囊切除术(LC)后胆漏再次手术的方式选择及效果。方法选择我院LC后发生胆漏并再次手术患者62例,按照再次手术方式分为腹腔镜组30例和开腹手术组32例,并对其进行比较。结果两组患者在手术时间、术后排气时间、抗生素使用的天数、住院时间及并发症发生率上差异有统计学意义(P<0.05)。结论 LC后胆漏重在预防,应及早诊断及选择合适的手术方式处理,再次腹腔镜手术创伤小,安全性高,患者经济负担小。
Objective To observe the effection and choice of surgery style after laparoscopic cholecystectomy. Methods Sixty-two cases undewgoing surgery again after laparoscopic cholecystectomy（LC） were choice The cases were divide into LC group（30 cases） and laparotomy group（32 cases） according to the surgery style, and the effection was observed. Results The surgery time, postoperative exhaust time, days of use antibiotics postoperative length of stay and between in two groups were obviously different with a signifficant diffrence （P 〈 0.05）. Conclusion Bile leakage after LC should early diagnosis and choose appropriate surgery style, LC again has the merits of small wound, security highly and small economic burden
出处
《中国现代医生》
2011年第19期51-52,共2页
China Modern Doctor
关键词
腹腔镜胆囊切除术
胆漏
剖腹手术
再次腹腔镜手术
Laparoscopic cholecystectomy
Bile leakage
Laparotomy
Laparoscopic cholecystectomy again
