摘要
目的探讨腹腔镜胆囊切除术中出血的原因及处理方法.方法对我院4800例腹腔镜胆囊切除术病例资料进行总结分析.结果术中动脉出血26例,静脉出血10例,混合性出血27例,出血总量100ml^500ml,腹腔镜完成58例,终转开腹者5例,均获治愈.结论对腹腔镜器械的熟练操作,胆囊三角正常解剖关系及异常变异的熟悉,终转开腹时机的恰当选择,是得到良好预后的关键.
Objective To inves tigate the causes and management of hemorrhage in laparoscopic cholecystectomy.Methods The data of 4800 cases of laparoscopic cholecystectomy in our hospital were summarized and analyzed.Results There were 26 cases of arterial hemorrhage,10 cases of venous hemorrhage,27 cases of mixed hemorrhage.Total bleeding is 100 ml to 500 ml in each case.58 cases were completed by laparoscopy,5 cases were converted to laparotomy.Conclusion The key to get a good prognosis is to be proficient in the operation of laparoscopic instruments,to be familiar with the normal anatomical relationship and abnormal variation of the triangle of the gallbladder,and to choose the right time to turn to laparotomy.
作者
刘希宁
康建忠
张瑞波
梁家铭
王万超
王一鸣
曹立瀛
LIU Xi-ning;KAnG Jian-zhong;ZHANG Rui-bo(Kailuan Hospital,Tangshan 063000,China)
出处
《肝胆外科杂志》
2019年第5期355-357,共3页
Journal of Hepatobiliary Surgery
