胆囊切除术_腹腔镜；并发症；切口_

腹腔镜胆囊切除术切口并发症31例报告

http://www.100md.com 《腹腔镜外科杂志》 2006年第3期

胆囊切除术,腹腔镜；并发症；切口,,胆囊切除术，腹腔镜；并发症；切口,【摘要】,【关键词】,1资料与方法,2结果,3讨论,参考文献

     【摘要】 目的：探讨腹腔镜胆囊切除术(LC)切口并发症的发生原因、治疗、预防及预后。方法：回顾1 650例LC发生切口并发症31例的临床资料。结果：31例中切口感染12例，切口下积液11例，切口裂开1例，切口出血1例，皮下淤血及血肿1例，切口疝2例，切口肿瘤种植1例，增殖性瘢痕2例。结论：严格的无菌技术，恰当的切口选择，细致和规范的技术操作，良好的麻醉配合和合理的术后处理是预防LC切口并发症的重要措施。

    【关键词】 胆囊切除术，腹腔镜；并发症；切口

    Incision complications in laparoscopic cholecystectomy:with a report of 31 cases

    WU Xiaobing,SONG Weilin,YANG Funing,et al.

    Chinese Weapon Industry 521 Hospital,Xi'an 710065,China

    【Abstract】 Objective:To explore the cause,treatment,prevention and prognosis of incision complications in laparoscopic cholecystectomy(LC).Methods:Review the clinical data of 31 cases with incision complications,occurred in 1 650 cases received LC. Results:The incision complications of the 31 cases,include incision infection(12 cases),subincision fluid(11 cases),incision dehiscence(1 case),incision bleeding(1 case),subcutaneous congestion and hematoma(1 case),incisional hernia(2 cases), incision tumor implantation(1 case),and incision hyperplasia scar (2 cases).Conclusions:It is important to prevent incision complications of LC from occuring by strict asepsis,reasonable incision selection,careful and standard technical operation,well anaesthetic coordination and resonable postoperotive treatment. ......

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