13840例腹腔镜手术临床分析  

Clinical Analysis of 13 840 Cases Undergoing Laparoscopic Operation

作　　者：黎前德[1] 杨培[1] 王东[1] 罗华[1] 王宁[1] 赵平武[1] 孙新一[1] 

机构地区：[1]四川省绵阳市中心医院肝胆外科,绵阳621000

出　　处：《中国普外基础与临床杂志》2005年第6期554-557,共4页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的探讨腹腔镜手术的临床应用。方法回顾性分析我院1992年10月至2005年3月收治的13 840例患者行腹腔镜手术的临床资料。结果腹腔镜手术13 840例,完成13 653例(98.6%),其中腹腔镜和内镜联合治疗162例。中转开腹187例(1.4%)。术后近期共发生各类并发症115例(0.8%),其中胆管损伤3例。术后共11 352例获得随访,手术远期效果优良率达90.0%以上。结论腹腔镜手术具有微创、痛苦少、恢复快等优点,关键是严格把握治疗原则,降低并发症发生率。腹腔镜和内镜联合治疗值得进一步推广应用。Objective To study the clinical application of laparoscopic operation. Methods The clinical findings from 13 840 cases of laparoscopic surgery in this hospital from 1992 to 2005 were reviewed retrospectively. Resuits Laparoscopic operation were performed successfully in 13 653（98.6%）, 187 cases were transferred to open operation. Complications were occurred in 115 cases, including common bile duct injury in 3 cases. Combined treatment with laparoscope and endoscope were performed in 162 cases. Eleven thousand three hundred and fifty-two patients had been succeeded in follow-up survey. Over 90. 0 percent of patients recovered smoothly. Conclusion Laparoscopic operation may be applied in a more extensive scope. The major complications can be reduced by strict procedures of laparoscopic operation. The combined treatment of laparoscope and endoscope should be further studied and widely used.

关 键 词：腹腔镜手术 腹腔镜胆囊切除术 并发症 联合治疗 

分 类 号：R656[医药卫生—外科学]