摘要
目的 :总结分析腹腔镜在胆囊急性炎症情况下各种并发症原因 ,结合自身经验探讨如何预防。方法 :回顾性分析我科 2 0 0 0年 10月～ 2 0 0 2年 3月腹腔镜胆囊切除 75 5例中的 4 35例急性胆囊炎资料。结果 :腹腔镜胆囊切除 75 5例中发生胆总管损伤 1例、胆汁漏 3例、剑突下切口内残石伴感染 1例共 5例并发症 ,且全部出现在胆囊急性炎症组。结论 :尽管胆囊急性炎症情况下行腹腔镜切除其难度及出现医源性损伤的可能性很大 ,但只要镜下注意适当的操作 ,完成手术的可能性同样存在。
Objective: To analyzes the variety complications post-operation under laparoscopic cholecystectomy (LC) of acute cholecystitis . Methods: In 755 cases, acute cholecystitis and emergent operations were 435 cases. In whole patients, 12 cases were altered into operative cholecystectomy during laparoscopic cholecystectomy and variety complications post-operation were 5 cases, 423 cases were performed under LC. All patients were cured. Conclusion: The degree of difficulty and iatrogenic injury was improved due to laparoscopic cholecystectomy during acute inflammation, however, the LC can be performed successfully with appropriate measures during operation.
出处
《中国内镜杂志》
CSCD
2002年第12期31-33,共3页
China Journal of Endoscopy
关键词
急性胆囊炎
腹腔镜
胆囊切除术
并发症
Acute Cholecystitis
Laparoscopic Cholecystectomy
Treatment
