腹腔镜胆囊切除术1450例临床分析
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【摘要】 目的 总结1450例腹腔镜胆囊切除术的经验。方法 回顾分析本院2001年6月至2008年5月1450例LC患者的临床资料。结果 1438例顺利完成LC,中转开腹12例,术后腹腔内出血2例,急性左心衰1例,遗漏腹腔内病变2例。结论 熟悉Calot三角关系,适时中转开腹,加强术中监测及充分认识CO2气腹的影响,能避免严重并发症的发生。
【关键词】 胆囊切除术,腹腔镜,并发症
Clinical analysis of 1450cases of laparoscopic choecystectomy
ZENG Wen-long,WANG Shui-lian, QIU Geng-feng. The Second Hospital of Long yan ,364000, China
【Abstract】 Objective To summarize the experience of 1450 cases of laparoscopic cholecy stectomy (LC). Methods The data of 1450 cases of laparoscopic cholecystectomy from June .2001 to May.2008 were retrospectively analyzed .Results 1438cases were performed successfully. 12 cases were converted to open procedure, 2 cases were intraperitoneal hemorrhage, 1 case acute leftventricular failure and 2 cases of omitting the lesions in abdominal cavity.Conclusions Being familiar with the anatomic structure of Calot’s triangle and conversion to open surgery if necessary, strengthening intraoperative monitor and recognizeing the influence of the carbondioxide pneumoperitoneum sufficiently can avoid severe complica tion ......
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