摘要
目的探讨腹腔镜胆囊切除术(LC)手术及并发症的预防。方法回顾分析该院600例腹腔镜胆囊切除术临床资料。结果600例中胆囊结石249例,胆囊息肉284例,慢性胆囊炎67例。平均手术时间42min。中转开腹术18例(3%)；并发症3例(0．5%),其中出血2例,胆漏1例。无胆管损伤和死亡病例。结论严格掌握手术适应证,熟练手术操作和适时中转手术是降低LC并发症的关键。
Objective To explore the prevention and treament of the complications for laparoscopic cholecystectomy（LC）. Methods Clinical datas of 600 cases undergoing LC were collected and analyzed retrospectively. Resuits Among all the cases,249 cases were diagnosed as cholecystolithiasis,284 cases as gallbladder and 67 cases as chronic cholecystitis. The mean duration of operation was 42min. Conversions to open cholecystectomy were needed in 18 cases（3 % ）. Complications took place in 6 cases（0.5 % ） ,involving 2 cases of abdominal bleeding and 1 case of bile leakage. There was no bile duct injury and death. Conclusion Strictly-controlled indications,skilled performance and timely open exploration are very important to prevent and reduce the complications.
出处
《中国基层医药》
CAS
2006年第8期1248-1249,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
胆囊切除术
腹腔镜
并发症
预防
Laparoscopic cholecystectomy
Complication
Prevention
