摘要
目的 探讨腹腔镜胆囊切除术并发症发生的原因及预防处理。方法 回顾分析我院 1991年 3月至 2 0 0 3年 11月行 L C的 132 78例病人的临床资料 ,对术中、术后并发症的发生原因进行分析。结果 发生并发症 110例 ,发生率为 0 .83%。其中胆管损伤 19例 (0 .14 % ) ,胆漏 37例 (0 .2 8% ) ,胆总管残余结石 31例 (0 .2 3% ) ,腹腔出血 4例 (0 .0 3% ) ,胃肠道损伤 5例(0 .0 4 % ) ,腹腔内脓肿 3例 (0 .0 2 % ) ,切口感染及切口疝 6例 (0 .0 5 % ) ,严重皮下气肿 5例 (0 .0 4 % )。死亡 4例 (0 .0 3% )。结论 胆管损伤、胆漏和胆总管残余结石是 L C的主要并发症 ,绝大部分并发症是能够预防和治愈的。
Objective Study on the causes and management of complications after laparoscopic cholecystectomy.Methods From March 1991 to November 2003,the records of 13278 patients undergoing laparoscopic cholecystectomy were reviewed respectively.Result 110 out of 13278(0.83%) patients had various complications after laparoscopic cholecystectomy .Among 110 cases,19 patients had injuries of common bile duct ,37 bile leakage , 31 remained concretion of choledochus,4 intraabdominal hemorrhage,5 intestinal injury, 3 abdominal abscess, 6 incisional infection and hernia,5 serious subcutaneous gas stratum ,respectively .Most of the patients who developed complications after laparoscopic cholecystctomy had recovered after proper therapy.Only four patients died from the operation.Conclusion The major complications of laparoscopic cholecystectomy included injury of common bile duct , biliary fistula and remained concretion of choledochous, and most of them can be prevented and cured.
出处
《肝胆外科杂志》
2004年第6期431-433,共3页
Journal of Hepatobiliary Surgery
关键词
腹腔镜
胆囊切除术
并发症
Laparoscopy
Cholecystectomy
Complications
