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腹腔镜胆囊切除术并发症处理与预防

The Treatment and Prevention Methods of the Complications of Laparoscopic Cholecystectomy

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【作者】 刘广齐殷和良商文刚林国英

【Author】 LIU Guang-qi , YIN He-liang , SHANG Wen-gang , et al . ( The department of general sugery,the fisrt hospital of Qiqihaer,Qiqihaer,Heilongjiang 161005 )

【机构】 齐齐哈尔市第一医院普外二科

【摘要】 目的:探讨腹腔镜胆囊切除术并发症发生的原因、处理及预防方法。方法:对725例腹腔镜胆囊切除术中11例并发症临床资料的回顾性分析。结果:胆管损伤1例,术中出血3例,术后胆漏1例,胃肠道损伤1例,穿刺切口感染1例,皮下气肿3例,残余结石1例。结论:严格掌握手术指征,合理的手术技巧,规范的操作,熟悉胆囊管和血管的解剖及变异,及时果断的中转开腹等,可以有效的减少腹腔镜胆囊切除术并发症的发生。

【Abstract】 Objective:To study the causes, the treatment and the prevention methods of the complications of laparoscopic cholecystectomy. Methods:The clinical data ofcomplications of 11 cases laparoscopic cholecystectomy were analyzed. Results:In 11 cases, bile duct injuring was 1 case; bile leakis 1 case after operation; Bleeding during operation was 3 cases; Gastrointestinal injury 1 case; Infection of incision was 1 case; residual stones 1 case. Conclusion:It must be perform the surgery indications strictly, reasonable operation skill, standard manipulation, familiar with the anatomic variation of cholecystic vessels and biliary ducts and abdominal operation. in time all methods can effectively decrease the complication of laparoscopic cholecystectomy.

【关键词】 腹腔镜胆囊切除术并发症
【Key words】 LaparoscopicCholecystectomyComplications
  • 【文献出处】 中国伤残医学 ,Chinese Journal of Trauma and Disability Medicine , 编辑部邮箱 ,2013年03期
  • 【分类号】R657.4
  • 【被引频次】1
  • 【下载频次】30
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