腹腔镜胆囊切除术并发症的防治  

Prevention and treatment of complications following laparoscopic cholecystectomy

作　　者：李平军[1] 杨峻峰[1] 胡伟[1] 袁爱军[1] 田明国[1] 嵇振岭[1] 杨德同[2] 孙鸿源 

机构地区：[1]江苏省扬州大学第四临床医学院南通瑞慈医院中德微创外科合作中心,226010 [2]东南大学附属中大医院普外科 [3]河南省新乡医学院附属第一医院普外科

出　　处：《腹部外科》2005年第2期98-99,共2页Journal of Abdominal Surgery

摘　　要：目的探讨腹腔镜胆囊切除术并发症的防治.方法回顾性分析我们2001年3月～2004年8月1 400例LC的临床资料.结果术后发生出血7例、胆漏4例、胆总管残余结石9例,均经手术及保守治疗治愈.无胆管损伤和死亡病例.结论术中遵循暴露充分、钝性分离、准确识别胆囊壶腹和胆囊管交界部、适时应用术中胆道造影的原则是减少术后并发症的重要措施.Objective To investigate the prevention and treatment of the complications following laparoscopic cholecystectomy(LC),including bleeding,bile leakage,bile duct injury and stone residue in common bile duct.Methods 1400 cases subject to LC were studied retrospectively from March 2001 to September 2004.Results Operative complications:bleeding(7 cases,0.5%);bile leakage(4 cases,0.29%);stone residue(9 cases,0.64%).All the complications were successfully cured by operation or conservative methods.There were no bile duct injury and death.Conclusion The important procedures to prevent and reduce the complications are to fully expose the operative field,perform blunt isolation,correctly identify the board between ampulla of gallbladder and cystic duct,timely make cholangiography during operation.

关 键 词：腹腔镜胆囊切除 术并发症 防治 胆总管残余结石 术中胆道造影 2004年 2001年 回顾性分析 术后并发症 临床资料 保守治疗 死亡病例 胆管损伤 钝性分离 胆囊壶腹 重要措施 交界部 胆囊管 

分 类 号：R657.4[医药卫生—外科学] R713.42[医药卫生—临床医学]