摘要
目的:探讨腹腔镜切除术严重并发症的预防。方法:完成腹腔镜胆囊切除术9000余例,均用闭合法建立气腹,确认胆囊壶腹与胆囊的汇合部,充分游离汇合部的四周,敞开Calot三角,钝性分离,正确处理增粗的胆囊管。复杂病例应用B超指导手术。结果:发生严重并发症40例,死亡5例,无技术性并发症死亡病例。结论:正确建立气腹可避免损伤内脏,确认胆囊壶腹是安全完成胆囊切除术的前提;腹腔镜术中B超的应用可提高手术成功率,降低手术并发症。
Objective:To study the prevention of serious complications occured in laparoscopic cholecystec-tomy. Methods: More than 9000 laparoscopic cholecystectomies established with closed pneumoperitoneum were performed in our department. It was very important to find junction of the cyst duct and infundibulum, to divide around directions of the junction, to open Calot's triangle with blunt division.In the complicated cases,laparoscopic ultra-sonography shound be used.Results:There were 40 patients with serious complications in cholecystectomy,5 of them died. Conclusion: Viscera injuries may be avoided with safety pneumoperitomeum established with closed method. Determining junctin of the cystic duct and the infundibulum is the key avoidig injurey of the extra hepatic bile duct. Using laparoscopic ultrasonoghaphy in the complicaed cases may decrease the rate of serious complications and increase successfull rate in the procedure.
出处
《腹腔镜外科杂志》
2001年第3期166-168,共3页
Journal of Laparoscopic Surgery
关键词
胆囊切除术
腹腔镜
并发症
Cholecystectomy
Laparoscopy
Complications
