腹腔镜胆囊切除术后近期再手术的原因及对策(附19例报告)
腹腔镜,,胆囊切除术，腹腔镜；并发症，再手术,1资料与方法,2讨论
【摘要】目的：探讨腹腔镜胆囊切除术后近期再手术的原因、手术方式及预防措施。方法：分析1995至2004年6016例LC术后再手术的19例患者的临床资料。结果：再手术的原因为胆总管损伤2例、腹腔内出血8例、胆总管残余结石7例、胆囊管残端漏2例。再手术方式分别为胆总管端端吻合术、胆总管空肠Rouxeny吻合术、剖腹止血术、EST、胆总管切开取石术。19例均经手术治愈，未出现严重并发症。结论：减少LC术后再手术的关键是掌握好LC的适应证，术中精细操作，适时中转开腹，合理放置引流。【关键词】胆囊切除术，腹腔镜；并发症，再手术
The reasons and countermeasures of reoperation after laparoscopic cholecystectomy in a short period with a report of 19 cases
WU Wei
(Frist Department of General Surgery,The People，s Hospital of Tongling City,Tongling Anhui 244000,China)
【Abstract】Objective:To explore the reasons,operationstyles and preventive measures of reoperation after LC in a short period. Methods The clinic data of 19 patients who had been reoperated out of 6016 LC cases from 1995 to 2004 was analgzod. Results Reasons of reoperation as follows:2 cases were injured in common bile duct; 8 cases were intraperitoneal hemorrhage; 7 cases were left with concretion in common bile duct; 2 cases were cystic duct fistula. The reoperationstyles as follows: choledochocholedochostomy,Rouxeny choledochojejunostomy,laparotomy of hematischesis,EST, choledocholithotomy. 19 cases were all cured by operations without severe neopathy. Conclusion The keys to reduce the rate of reoperation are prehension the indication of LC,operate carefully,use laparotomy when necessary,place the drain rationally. ......
您现在查看是摘要页，全文长 7439 字符。