摘要
目的 :总结腹腔镜诊治腹部疾病的经验。方法 :回顾分析 1914例腹部疾病患者行腹腔镜手术治疗的临床资料。结果 :LC1810例 ,中转手术 8例 (0 .4 4%)。手术并发症 13例 (0 .72 %) ,胆管损伤 2例 (0 .11%) ,迷走胆管漏、术后腹腔出血、皮下气肿、剑下切口疝、脐部肉芽肿、下肢深静脉血栓形成各 1例 ,切口感染 4例 ,均手术或保守治愈。胆囊造瘘 2例 ,肝囊肿开窗引流 4例 ,阑尾切除 4 0例 ,十二脂肠溃疡穿孔修补 6例 ,肠粘连松解 2例 ,腹腔镜辅助小肠切除或肠修补 4例 ,脏器挫裂伤电凝止血引流 8例 ,腹腔镜联合手术 2 3例 ,其他手术 15例 ,全组无手术死亡病例。结论 :腹腔镜胆囊切除术治疗胆石症安全、可靠。腹腔镜探查术有助于提高诊断率 。
Objective:To summarize the value of laparoscopy for abdominal diseases.Methods:The data of 1 914 patients treated by laparoscopy were retrospectively analyzed.Results:Among these patients,1 810 patients were treated by laparoscopic cholecystectomy,8 patients were converted to open operation;13 patients appeared complications (bile duct injury,2;bile leak,1;postoperative abdominal cavitas hemorrhage,1;subcutanous emphysema,1;incisional hernias of inferior xiphoid process,1;umbilical granuloma,1;deep venous thrombosis of lower limbs,1;infection of the incision,4;)were cured by operation or non-operation.Cholecyst fistulation in 2,drainage of liver cyst in 4,appendectomy in 40,repairing of the duodenal ulcer perforation in 6,lysis of adhesion in 2,intestinal removal or repairing by the assistant of laparoscopy in 4,electric-coagulate hemostasia and drainage of the viscera contusion in 8,operation combined with laparoscopy in 23,others in 15,there was no dead patient.Conclusions:Laparoscopic cholecystectomy is a safe and reliable technique in treating with the cholelithiasis.Exploration with laparoscopy which avoid large incision can promote the diagnosis and reduce the negative exploratory laparotomy.It is worth popularization and application.
出处
《腹腔镜外科杂志》
2002年第4期222-224,共3页
Journal of Laparoscopic Surgery
