腹腔镜胆囊切除术并发症的防治  

Complications following laparoscopic cholecystectomy:Prevention and treatment

作　　者：郭国徽[1] 舒秉俊[1] 金鑫[1] 周启旭[1] 王平[1] 

机构地区：[1]江西省南昌市第一医院腔镜外科,南昌330008

出　　处：《中国微创外科杂志》2004年第6期464-465,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的　探讨腹腔镜胆囊切除术 (laparoscopiccholecystectomy ,LC)并发症的预防和处理。　方法　回顾性总结 90 2例LC并发症种类、处理方法和预防措施。　结果　 90 2例中发生胆总管损伤 2例 ,胆总管结石残留 2例 ,阴囊气肿 4例。胆管损伤和胆总管残留结石均经再次手术治愈 ,阴囊气肿自行吸收。中转开腹手术 31例 ,全组病例均获治愈。　结论　腹腔镜胆囊切除术并发症重在预防 。Objective To discuss the prevention and treatment for complications following laparoscopic cholecystectomy (LC). Methods A total of 902 cases were summarized retrospectively with regard to causes, prevention and treatment of complications following LC. Results Out of the 902 cases, there were 2 cases of bile duct injury, 2 cases of residual calculi of common bile duct, and 4 cases of scrotum emphysema. The bile duct injury and residual calculi were all cured by re-operation, while the scrotum emphysema dissolved of itself without medical treatment. A conversion to open surgery was required in 31 cases. All the cases in the study were cured. Conclusions Emphasis should be laid on the prevention of complications after LC. A prompt conversion to open cholecystectomy is the key to the lowering of complication rate.

关 键 词：腹腔镜胆囊切除术 并发症 

分 类 号：R657.4[医药卫生—外科学]