摘要
目的：分析腹腔镜胆囊切除术（laparoscopic cholecystectomy,LC）的并发症及其发生原因,探讨预防及应对措施。方法：回顾分析1992年11月至2008年11月我院施行LC12729例患者的临床资料。结果：本组发生术后胆漏58例（0.46%）,术中胆总管损伤35例（0.27%）,术中或术后腹腔出血29例（0.23%）。原因与术者手术操作不熟练、对腹腔镜下胆道解剖辨认经验不足、术前准备不充分、适应证选择不当及术中未及时中转开腹有关。结论：胆漏、胆管损伤及腹腔出血是LC的主要并发症,注重操作技巧、适应证选择及围手术期的充分准备可预防并减少并发症的发生。
Objective： To analyze the complications of laparoscopic cholecystectomy （LC） and their affecting factors and investigate their prevention and treatment. Methods：The clinical data of 12 729 patients treated with LC from Nov. 1992 to Nov. 2008 in our hospital were retrospectively analyzed. Results：The complications were postoperative bile leakage in 58 cases （0.46%）, common bile duct injury in 35 cases （0.27%） ,and intra-abdominal hemorrhage in 29 cases （0.23%）. The causes for these complications were unskillful operative technique,lack of knowledge and experience in identifying the anatomy of bile duct,insufficient preoperative preparation ,improper choice of indications and without conversion to open surgery in time. Conclusions ：The major complications of LC are bile leakage, bile duct injury and intra-abdominal hemorrhage. The injury can be avoided through careful performance of LC, proper choice of indication and sufficient perioperative preparation. Immediate discovery and proper treatment of complications will result in good outcome.
出处
《腹腔镜外科杂志》
2009年第5期362-365,共4页
Journal of Laparoscopic Surgery
关键词
胆囊切除术
腹腔镜
并发症
预防和控制
Cholecystectomy,laparoscopic
Complication
Prevention and control
