摘要
目的 :探讨腹腔镜胆囊切除术并发症发生原因、预防措施以及处理方法。方法 :回顾性分析本院外科自开展腹腔镜胆囊切除术以来发生并发症的 32例临床资料。结果 :胆管损伤 5例 ,术中出血 2例 ,皮下气肿 3例 ,高碳酸血症 1例 ,创口感染 1例 ,肠管壁疝 1例 ,腹腔残余积液 11例 ,胆总管残余结石 7例 ,急性胰腺炎 1例 ,所有患者经治疗后没有严重后遗症。结论 :①重视学习曲线规律 ,遵循循序渐进的原则有助于减少并发症。②避免中转开腹手术以安全医疗为前提。③掌握正确操作要点是减少并发症的关键。④发现及时、处理得当能取得良好效果。
Objective:To investigate the causes of and managements for complications of laparoscopic cholecystectomy(LC).Methods:Thirty-two cases with complications of LC were retrospectively analyzed.Results:Common bile duct injuries in 5 cases,bleeding in 2 cases,subcutaneous emphysema in 3 cases,hypercapnemia in 1 case,infection of wound in 1 case,Richter hernia in 1 case,abdominal cavity remnant fluid in 11 cases,remnant stones in common bile duct in 7 cases,acute pancreatitis after operation in 1 case. There is no severe sequela after suitable treatment in all cases.Conclusion:To grasp the law of learning curve and to follow the principles of step-by step are advantageous to reduce the incidence of complication. Safety medicine is premise of avoiding converting to cut the belly open. To grasp the main points of accurate procedure is the key to reduce the incidence of complication. To detect in time and to treat suitably can gain the good effect.
出处
《温州医学院学报》
CAS
2004年第4期280-281,共2页
Journal of Wenzhou Medical College
关键词
腹腔镜
胆囊切除术
并发症
预防
治疗
laparoscopy
cholecystectomy
complication
prevention
treatment
