腹腔镜_____腹腔镜；并发症；胆囊切除

腹腔镜胆囊切除术1 660例临床总结

http://www.100md.com 《腹腔镜外科杂志》 2005年第4期

腹腔镜,,腹腔镜；并发症；胆囊切除,腹腔镜胆囊切除术1660例临床总结,1资料与方法,2结果,3讨论,参考文献：

     【摘要】目的：探讨LC并发症预防及处理。方法：[HTK〗总结1997年12月～2004年3月，1 660例LC患者手术方法、发生并发症原因、并发症预防及治疗资料。结果：1 660例全部治愈，无死亡病例，并发症26例，其中胆漏12例，出血12例，过敏性休克2例，中转开腹38例，置腹腔引流管83例。结论：规范手术操作是减少并发症的基础，重视并发症的预防及正确处理是提高手术成功率的关键，正确把握中转手术指征及放置腹腔引流管是成功开展腔镜手术的重要措施。

    【关键词】腹腔镜；并发症；胆囊切除

    Clinical summary on 1 660 cases with laparoscopic cholecystectomy

    HOU Lindu, PANG Kebin, WANG Chenglin, et al.

    Hospital of Qishan County, Qishan, 722400,China

    【Abstract】 Objective:To explore prevention and treatment on complications of LC. Methods:1 660 cases who receiving LC were summarized from December 1997 to March 2004. Operation procedures, causes, prevention and treatment of complications were analyzed respectively. Results:1 660 cases were cured totally, with no death cases. Complications took place in 26 cases, involving 12 cases of bile leakage, 12 cases of hemorrhage, 2 cases of allergic shock. Conversions to open cholecystectomy were required in 38 cases, abdominal drainage tube was put in 83 cases.Conclusions:Standard operation procedure is the foundation of decreasing complications, emphasis on prevention and treatment properly of compliotions is the key points to increase operation achievement ratio,grasping operation indications properly and putting abdominal drainage tube are important measures to perform laparoscopic operations successfully. ......

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