摘要
目的:总结分析本院腹腔镜胆囊切除术(LC)3008例治疗经验。方法:回顾分析2003年11月-2012年4月笔者所在医院腹腔镜胆囊切除术3008例患者的临床资料。结果:3001例在腹腔下完成手术,中转开腹7例,1例胆囊息肉术后诊断胆囊癌,3例并发切口感染,1例发生切口疝,1例术后3d发生腹腔出血,1例发生胆漏,1例术后出现盆腔积液,2例术后出现胆总管结石。结论:腹腔镜胆囊切除术创伤小、恢复快。对术前肝功酶异常者,B超提示胆总内径>0.9cm者行磁共振胰胆管造影(MRCP)检查。合理掌握适应证,精细操作是手术成功及预防并发症的关键。
Objective：To summarize and analyze 3008 instances of laparoscopic cholecystectomy of our hospital.Method：To review and analyze 3008 instances clinical data of laparoscopic cholecystectomy from year Nov,2003 to April,2012 of our hospital.Result：One instance of gall bladder polyp’s postoperation was diagnosed gallbladder carcinoma.Three instances were complicated by infection and one instance occurred to leak bile.One instance appeared hydrops in pelvic cavity after operation and two instances appeared calculus in common bile duct.Conclusion：Trauma of laparoscopic cholecystectomy is small and it recovers fast.Take MRCP examination for patients of abnormal liver function pre-operation and total inner diameter of gallbladder over 0.9 cm after B ultrasonic examination.Mastering indication reasonably and manipulating carefully are keys of the operation’s success and the prevention of complication.
出处
《中国医学创新》
CAS
2013年第6期125-126,共2页
Medical Innovation of China
关键词
腹腔镜术
胆囊切除术
Laparoscope operation
Cholecystectomy
