腹腔镜胆囊切除术后早期炎性肠梗阻  

Early postoperative inflammatory ileus after laparoscopic cholecystectomy

作　　者：李家福[1] 于世忠[1] 周家军[1] 董兴隆 龚承好[1] 

机构地区：[1]连云港圣安医院,江苏赣榆222100

出　　处：《腹腔镜外科杂志》2008年第6期515-516,共2页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜胆囊切除术后早期炎性肠梗阻的发生原因、处理及预防措施。方法:总结分析2例腹腔镜胆囊切除术后并发早期炎性肠梗阻的临床资料。结果:2例患者采取手术和保守治疗各1例,均痊愈。结论:腹腔镜胆囊切除术中有多量渗血、胆漏应及时处理,防止渗液在腹腔内弥散,必要时留置肝下引流,防止并发早期炎性肠梗阻。Objective：To explore the causes the treatment and prevention of early postoperative inflammatory ileus （EPII） after laparoscopic cholecystectomy（LC）. Methods：The clinical data of 2 cases of EPII after LC were analyzed. Results：Both of the patients were cured after operation or conservative treatment. Conclusions：To prevent speading infection, intraoperative bleeding and bile leak should be properly treated in LC, and drainage is necessary sometimes to avoid early postoperative inflammatory ileus.

关 键 词：胆囊切除术 腹腔镜 肠梗阻 

分 类 号：R657.4[医药卫生—外科学]