腹腔镜胆囊切除术后综合征的原因分析  

ANALYSIS OF POSTOPERATIVE SYNDROMES AFTER LAPAROSCOPIC CHOLECYSTECTOM

作　　者：甘跃力[1] 李清佩[1] 

机构地区：[1]上海第二医科大学附属新华医院普外科,上海200090

出　　处：《肝胆外科杂志》1998年第3期159-160,共2页Journal of Hepatobiliary Surgery

摘　　要：从1993年至1997年我们对经腹腔镜胆囊切除手术421例病人进行跟踪随访分析腹腔镜胆囊切除术后仍有症状反复发作的原因及发生率，发生率是16％，这个百分率与传统剖腹胆囊切除基本相同，然而，腹腔镜胆囊切除因术前、术中遗漏与胆囊无关疾病的诊断引起症状数量较高，良性（n＝11）和恶性（n＝3），这个能反映出术前祥细检查的重要性，与剖腹术比较腹腔镜手术时检查腹腔内病变是困难的，而有胆囊切除后胆道运动紊乱引起综合征经药物治疗后可得到改善。Postoperative symptoms after laparoscopic cholecystectomy perfomed in 421 cases at Xinhua Hospital between 1993and 1997 were evaluated by chart reviews andquestionnaires. The period of follow-up ranged from one to four years. The purposeof this study was to determine the incidence and causes of symptoms after laparoscopic cholecystectomy. The incidence of suchsymptoms was 16%,which does not differ from other previous studies where cholecystectomy was performed by the conventionalopen technique. However,the number of missed pre-operative diagnoses causing symptoms was high in both benign (n=11) andmalignant (n=3) condition. This finding may be a reflection of inadequate per-operative investigation and the difficulty in investigating intra-abdominal pathology by laparoscopy compared with the open technique. Most patients improved after medical treament.

关 键 词：腹腔镜 胆囊切除术 综合征 手术后 

分 类 号：R657.4[医药卫生—外科学]