腹腔镜胆囊切除术3580例临床体会  

Clinical experiences of laparoscopic cholecystectomy in 3,580 cases

作　　者：祖存[1] 鲁进忠[1] 唐浩[1] 包川[1] 张康[1] 杨小娇[1] 

机构地区：[1]成都军区机关医院外一科,成都610011

出　　处：《西南国防医药》2013年第2期158-160,共3页Medical Journal of National Defending Forces in Southwest China

摘　　要：目的总结我院近10年来开展腹腔镜胆囊切除术(LC)治疗胆囊疾病的手术技巧及经验,并探讨并发症的预防措施。方法回顾分析我院2002年4月～2012年4月为3580例患者施行LC的临床资料。结果 3487例成功完成LC,93例中转开腹,出现严重并发症8例,其中胆管损伤2例(胆总管横断伤1例,右肝管损伤1例),迟发性胆漏1例,术后出血1例,胆管残余结石2例,残余小胆囊2例。全组无手术死亡病例。结论腹腔镜胆囊切除术具有患者创伤小、出血少、痛苦小、康复快等特点。LC是治疗胆囊良性疾病安全可靠的术式。Objective To summarize the surgical skills and experience of laparoseopie choleeysteetomy （LC） in the treatment of gallbladder diseases in recent 10 years,and to explore the prevention of complications. Methods Analysis was made in the clinical date of 3,580 patients who received LC in our hospital from April 2002 to April 2012. Results LC was successfully carried out in 3,487 cases in which 93 ones were converted to open choleeystectomy and 8 ones had severe complications which included bile duct injury in 2 patients（ one with transversal injury in common bile duct and one with injury in right hepatic duct）and delayed bile leakage in 1 patient. One case suffered from postoperative bleeding;2 cases had residual calculi in bile duct;2 cases had the remmant of a small gallbladder. No death occurred. Conclusion Laparoscopie eholecystectomy has less trauma, blood loss, pain, and rapid recovery. It needs to properly handle the indication, use suitable skills and standard operative procedure, and grasp the timing of converting to open cholecystectomy. LC is a safe and reliable surgical technique for cholecyst benign diseases.

关 键 词：腹腔镜 胆囊切除术 并发症 病例报告 

分 类 号：R657.4[医药卫生—外科学]