摘要
目的探讨腹腔镜胆囊切除术后早期再手术的原因、术式及预防措施。方法回顾性分析17例腹腔镜胆囊切除术后早期再手术的原因、再手术的术式。结果2317例腹腔镜胆囊切除术病人,早期再手术17例,其中胆漏3例,胆管损伤5例,出血4例,胆总管残余结石4例,十二指肠损伤1例。结论胆囊急性炎症及周围严重粘性,胆囊三角解剖变异和手术者的经验不足是腹腔镜胆囊切除早期再手术的主要原因。出现并发症后如术中能及时发现,及时处理较为理想。术后发现并发症,认真分析,早期再手术可以得到补救,疗效亦较好。
Objective Analysis of the reasons , modus operandi and preventive measure for reoperation after laparoscopic cholecystectomy. Methods Retrospective analyses of the 2317 patients who undergone laparoscopic cholecystectomy. Results Early reoperation was performed at 17 patients. The reasons of reoperation were： biliary fistulas （3 cases）, choledochus concrement （5 cases） ,haematoma of gallbladder＇s loge （4 cases） , residual common bile duct stones （4 cases） , and duodenum laceration （ 1 case）. It was solved by laparoscopic drainage. Conclu- sion The reason for reoperation after laparoscopic cholecystectomy included ： acute biliary peritonitis, circum - conglutination, anatomy variation of cystohepatic triangle , and lack of experience with surgical operation. It would have a better result when we dealed with postoperative complications after finding it as soon as possible.
出处
《临床和实验医学杂志》
2010年第2期111-113,共3页
Journal of Clinical and Experimental Medicine
关键词
胆囊切除术
腹腔镜
再手术
预防
Cholecystectomy
Laparoscopic
Reoperation
Preventive measure
