【摘要】 目的总结高龄、高危、高难度腹腔镜胆囊切除术及其主要合并症的处理经验,以便更好、更有效地开展该项工作的临床研究。方法回顾总结1994年￣2004年10月实施腹腔镜胆囊切除术的高龄、高危、高难度手术患者的临床资料。结果该组493例,糖尿病83例(占16.84%),肺心病79例(占16%),肝硬化69例(占14%),高血压冠心病206例(占41.78%)。该组病例入院后均经认真、全面的检查,对合并症进行了完善的围手术期处理,490例治愈出院。结论高龄、高危、高难度腹腔镜胆囊切除术只要对合并症进行全面、完善的围手术期处理,积极治疗并发症,具备熟练的镜下操作技能,该类病人均可耐受手术并安全度过手术关。更多还原

【Abstract】 【Objective】 To sum up the experience on abdominoscope choleystectomy and its management ofcomplications, and to develop the clinical studies more effectively. 【Methods】Clinical data of the patients from1994 to 2004, who underwent abdominoscope cholecystectomy were reviewed. 【Results】Among 493 patients, 83were diabetes (16.84), 79 pulmonary heart disease (16%), cirrhosis (14%) and 206 hypertensive cardiopathy (41.78).all the patients were given a serious and comprehensive examination and management of completed perioperation aswell, 490 patients were discharged after recovery. 【Conclusions】It is necessary for completed perioperative man-agement of complications, and expert operation to ensure the rate of success for the patients have abdominoscopecholecystectomy.更多还原