【摘要】 目的:探讨腹腔镜胆囊切除术(LC)后近期再手术的原因、手术方式及预防措施。方法:分析1995年至2004年6 016例LC术后再手术的19例患者的临床资料。结果:再手术的原因为胆总管损伤2例、腹腔内出血8例、胆总管残余结石7例、胆囊管残端漏2例。再手术方式分别为胆总管端端吻合术、胆总管空肠Roux-en-Y吻合术、剖腹止血术、EST、胆总管切开取石术。19例均经手术治愈,未出现严重并发症。结论:减少LC术后再手术的关键是掌握好LC的适应证,术中精细操作,适时中转开腹,合理放置引流管。更多还原

【Abstract】 Objective:To explore the reasons,operation-styles and preventive measures of reoperation in the near future after LC.Methods:The clinic data of 19 patients who had been reoperated in 6 016 cases of LC from 1995 to 2004 were analyzed.Results:Reasons of reoperation were as follows:2 cases were injured in common bile duct;8 cases were intraperitoneal hemorrhage;7 cases were retained calculus in common bile duct; 2 cases were cystic duct fistula.The reoperation-styles were as follows: choledochocholedochostomy,Roux-en-Y choledochojejunostomy,laparotomy of hematischesis,EST,choledocholithotomy.19 cases were all cured by operations without severe complication.Conclusions:The keys to reduce the rate of reoperation are controlling the indication of LC,operating carefully,using laparotomy when necessary and placing the drain rationally.更多还原