急性胆囊炎腹腔镜治疗435例临床分析  

ANALYSIS OF LAPAROSCOPIC CHOLECYSTECTOMY IN 435 ACUTE CHOLECYSTITIS

作　　者：陶涛 刘庆 冯茂林 张利 蒋华军 曾茂 

机构地区：[1]四川省成都满地可医院肝胆外科,610091

出　　处：《中国内镜杂志》2002年第12期31-33,共3页China Journal of Endoscopy

摘　　要：目的 :总结分析腹腔镜在胆囊急性炎症情况下各种并发症原因 ,结合自身经验探讨如何预防。方法 :回顾性分析我科 2 0 0 0年 10月～ 2 0 0 2年 3月腹腔镜胆囊切除 75 5例中的 4 35例急性胆囊炎资料。结果 :腹腔镜胆囊切除 75 5例中发生胆总管损伤 1例、胆汁漏 3例、剑突下切口内残石伴感染 1例共 5例并发症 ,且全部出现在胆囊急性炎症组。结论 :尽管胆囊急性炎症情况下行腹腔镜切除其难度及出现医源性损伤的可能性很大 ,但只要镜下注意适当的操作 ,完成手术的可能性同样存在。Objective: To analyzes the variety complications post-operation under laparoscopic cholecystectomy (LC) of acute cholecystitis . Methods: In 755 cases, acute cholecystitis and emergent operations were 435 cases. In whole patients, 12 cases were altered into operative cholecystectomy during laparoscopic cholecystectomy and variety complications post-operation were 5 cases, 423 cases were performed under LC. All patients were cured. Conclusion: The degree of difficulty and iatrogenic injury was improved due to laparoscopic cholecystectomy during acute inflammation, however, the LC can be performed successfully with appropriate measures during operation.

关 键 词：急性胆囊炎 腹腔镜 胆囊切除术 并发症 

分 类 号：R657.41[医药卫生—外科学]