摘要
目的:探讨腹腔镜胆囊切除术(LC)预防严重并发症的经验。方法:总结腹腔镜胆囊切除术300例无严重并发症的实践。结果:平均手术时间45min,术后住院3～5d,发生1例皮下气肿及1例术后胆管残留结石,经治疗后痊愈,无胆管损伤及大出血等严重并发症发生。结论:从下列方面加以重视,能减少甚至避免并发症的发生:(1)熟练的内镜技术、科学而踏实的工作态度和手术组人员的密切协作至关重要;(2)严格掌握手术适应证;(3)特殊病例,特殊对待,手术时做到耐心细致,灵活处理;(4)适时中转开腹手术是明智的选择,也是预防严重并发症的重要手段;(5)引流管的合理留置。
Objective: To study the experience of the prevention of the serious complication from laparoscopic cholecystectomy. Method: To Summarize the experience of 300 cases of laparoscopic cholecystectamy without serious complication. Result: Average surgical operation time was 45 minutes and was in hospital for 3 - 5 days after operation. pneumohypoderma occured 1 case and residual stone in bile duct occured 1 case, and they were all curred after treament. No serious complication occured such as bile duct damage and massive hemorrhage etc. Conclusion: Thinking highly of following ethodes can decrease or avoid the occurence of marginal artery serious complication: (1)Skilled endoscope technique, practical working attitude and close cooperation of operation crew; (2)Palmar grasp the adaption of operation strictly; (3)Special tretment to the special case. Deal with the case carefully, patiently and agility during the operation ; (4) It is a sensible choice to cure by conventional cholecystectomy after the failure of laparoscopic cholecystectomy at the right moment and also an important way to pervent the serious complication; (S)Reasonable poisition of drain tube.
出处
《中国厂矿医学》
2003年第1期5-6,共2页
Chinese Medicine of Factory and Mine
关键词
腹腔镜
胆囊切除术
并发症
预防
Laparoscopic cholecystectomy Serious complication Prevention
