摘要
目的探讨如何提高腹腔镜胆囊切除术的成功率,减少并发症的发生率.方法对2002年7月～2004年8月间共439例腹腔镜胆囊切除术的临床资料进行回顾性分析,研究中转开腹的原因和并发症的处理方式.结果本组LC 439例中转开腹14例,中转率3.19%.其中主动中转开腹12例,肝总管横断1例,合并结肠肝曲肿瘤1例.术后4例发生胆漏.结论LC是胆囊良性疾病的首先术式.严格掌握LC的手术适应证,提高镜下操作技术,及时中转开腹,可减少术后并发症.
Objective To investigate how to improve the successful rate of laparoscopic cholecystectomy （LC） and reduce the incidence of complications. Methods The clinical data of 439 patients undergoing LC from July 2002 to August 2004 were retrospectively analyzed. The causes of conversion to abdominal-open surgery and the management of complications were studied. Results In 439 cases, 14 were converted to abdominal-open surgery （3. 19%）. Among the 14 cases, 12 cases were voluntarily converted to abdominal-open surgery, and other two cases were due to transverse injury of common bile duct and colon tumor respectively. Bile leakage occurred in 29 cases. Conclusion LC is the first choice of benign diseases of cholecyster. To choose the patients for LC strictly, improve operation skills under laparoscopy, and converting to abdominal-open surgery in time can reduce the postoperative complications.
出处
《腹部外科》
2005年第5期285-286,共2页
Journal of Abdominal Surgery
