腹腔镜胆囊切除术并发症的发生原因及预防对策  

Causes and prevention of complication after laparoscopic cholecystectomy

作　　者：吴劲松[1] 

机构地区：[1]东南大学医学院附属南京江北人民医院肝胆外科,南京210048

出　　处：《中国综合临床》2004年第3期252-253,共2页Clinical Medicine of China

摘　　要：目的　探讨腹腔镜胆囊切除术并发症的发生原因及其预防对策。方法　采用腹腔镜胆囊切除术治疗 4 2 6例。结果　成功 4 1 9例 ,中转开腹 7例 ,平均手术时间 4 6 .5分钟 ,切口感染 2例 ,胆总管残余结石4例 ,胆漏 2例 ,无胆管损伤和术后大出血等严重并发症。结论　合理选择病例、规范的手术操作、果断及时地中转开腹 。Objective To investigate causes of complications after laparoscopic cholecystectomy(LC) and the measures of prevention.Methods 426 LC cases were summarized.Results 419 cases were successful and only 7 cases turned to paunch operation,with an average surgical time of 46.5 minutes,among whom postoperative wound infection occurred in 2 cases,choledocholithiasis in 4 cases,and biliary fistula in 2 cases.No serious complications,such as bile duct damage and massive hemorrhage,occurred.Conclusion The proper cases,standard operation and timely paunch operation can prevent serious complications following LC.

关 键 词：腹腔镜 胆囊切除术 胆囊疾病 

分 类 号：R657.4[医药卫生—外科学]