摘要
目的 介绍腹腔镜胆囊切除术中避免严重并发症的经验。方法 根据腹腔镜下肝外胆道解剖学的特点 ,通过精细的镜下解剖 ,适时的中转开腹 ,LC术中腹腔镜超声显示肝外胆道解剖关系 ,术前或术后ERCP等方法 ,提高LC手术安全和质量。结果 在总数为 8835例的LC中 ,前 4 335例LC中共发生胆道损伤、内脏损伤 ,须输血或再开腹手术止血的严重出血等严重并发症 17例 ,后 4 5 0 0例无 1例严重并发症发生。结论 精细的技术、准确把握中转开腹的时机、腹腔镜术中超声的辅助以围LC的ERCP技术 。
Objective To introduce the experiences of prevention of the severe complications during LC. Methods Refined maneuver under laparoscope, timely conversion to the open procedure, intraoperative ultrasonography and peri-LC ERCP were applied to improve the safety and quality of LC. Results Of the overall 8 835 cases of LC in this series, 17 of the former 4 335 cases developed severe complications, including bile duct injury, viscer injury and hemorrhage required blood transfusion and resurgery. There were no serious complications in the later 4 500 cases of LC, no serious complications was noted. Conclusions Approaches described above are helpful to ensure of the safety and quality of LC.
出处
《消化外科》
CSCD
2002年第6期407-408,共2页
Journal of Digestive Surgery
