电视腹腔镜胆囊切除术200例体会  

EXPERIENCES OF 200 CASES OF LAPAROSCOPIC CHOLECYSTECTOMY

作　　者：李恩全[1] 程若川[1] 魏晓刚[1] 

机构地区：[1]昆明医学院第一附属医院普外科

出　　处：《普外基础与临床杂志》1996年第1期32-35,共4页

摘　　要：在１９９３年３月至１９９４年５月，作者共行电视腹腔镜胆囊切除术２００例。手术成功１９０例（９５％）。失败病例包括：胆囊三角区致密性粘连分离困难５例；损伤胃十二指肠２例；因胆囊动脉出血及探查中发现肝癌而中转开腹手术各１例和严重心律失常中止手术１例。术后发生严重并发症３例，分别是总胆管横断性损伤，总胆管侧壁破损和胆囊管钛夹脱落漏胆。此外，还发生肝下积液、腹壁气肿各２例。全组病例无一死亡。文内讨论了手术适应证和手术技术问题，并提出了避免手术损伤的六点措施。From the March of 1993 to the May of 1994,we had performed laparoscopic cholecystectomy(LC) for 200 patients of the age ranged 19-77 years.In these cases, 12 had previous abdominal surgery;3 cases had hepatic cysts;11 cases had stones in the neck of gall bladders.We had successfully performed LC for 190 cases(95%)But we also had some unsuccessful experiences,including accidental injury to the stomach or duodenum,and bleeding from cystic arteris of the gallbladder.Operation(LC) was abandoned in one patient because of severe cardiac arrhyshmia developed during operation,and billiary tract injury was found postoperatively in three patients with no postoperative death. The operative indications and technical problems of LC are discussed in detail and measures in avoiding injury to billiary or GI tract from LC are introduced.

关 键 词：腹腔镜 切除术 胆囊结石 胆道损伤 

分 类 号：R657.42[医药卫生—外科学]