摘要
目的 了解我国目前腹腔镜胆囊切除术血管损伤并发症的概况。方法 利用中文生物医学数据库 ,对近年正式发表的论文进行统计 ,分析其中腹腔镜胆囊切除术血管损伤并发症例数 ,患者危险程度 ,血管损伤的部位 ,损伤原因 ,并发症发生的时间及治疗方法。结果 在 335 84例腹腔镜胆囊切除术资料中 ,共有 86例并发血管损伤 ,发生率为 0 .2 6 % ,与文献 [1 ]报道相符 ,其中胆囊动脉出血 4 7例 ,占 0 .14 % ,胆囊床出血、渗血 2 4例 ,占 0 .0 7% ,穿刺孔出血 6例 ,肝静脉出血 2例 ,肝动脉出血 1例 ,其他及不明原因出血 6例。出血不止、抢救无效导致死亡 5例。结论 血管损伤作为 L C所特有的严重并发症已受到人们的普遍重视 ,被认为是 L C致命的技术性并发症之一 ,是导致 L C中转及术后再剖腹手术的重要原因 ,因此 。
Objective to investigate the general conditions of the injury of blood vessels complicated with laparoscopic cholecystectomy in China.Methods Analyse the cases of the injury of blood vessels complicated with laparoscopic cholectstectomy and its degree,locations and managements,by reviewing the published articles in the last years in CMCC.Results There are 86 cases with the blood vessel injury in 33 584 patients having received the laparoscopic cholecystectomy.The mobidity is 0.26%,which is consistent with the results of the previous reports.The positions of bleeding include cystic artery (47,0.14%),cholecyst bed (24,0.07%),puncture hole(6),hepatic vein(2),hepatic artery(1),and others places(6).5 patients died of the bleeding.Conclusion The injury of blood vessels complicated with laparoscopic cholecystectomy has been thought highly of by us,and it is a kind of fatal technical complication.It is one of the major causes of laparotomy and reoperation.Therefore,the prophylaxis according to the cause of the injury plays a key role in the management.
出处
《肝胆外科杂志》
2002年第2期106-107,共2页
Journal of Hepatobiliary Surgery
