腹腔镜胆囊切除术常见并发症分析及预防策略
谢阗;林嘉瑜
【期刊名称】《中国医药》 【年(卷),期】2011(006)005
【摘要】Objective To analyze the reason of complications in laparoscopic cholecystectomy (LC) ,and to explore ways of reducing and preventing the incidence of complications. Methods The clinical data of 2341 patients receiving LC was analyzed retrospectively. Results One hundred and fourty-five patients (6.2% ) were converted from LC to open cholecystectomy. The complication rate of complications was 1. 8% (43 cases) , included 5 cases of extra-hepatic bile duct injury, 8 cases of bile leakages resulting from slippery of the titanium clips on cystic duct stump, 3 cases of cystic artery bleedings, 3 cases of gastrointestinal injuries, 6 cases of residual common bile duct stones, 4 cases of right sub-hepatic encapsulated fluids, 3 cases of intra-abdominal abscesses, 3 cases of inci-sional infections, and 6 cases of abdominal subcutaneous emphysema. Conclusions In order to effectively prevent complications of laparoscopic cholecystectomy, the following measures should be enforced cautiously: strict control of surgical indications, standardization of surgical procedures, mastering the surgical techniques and methods of preventing complications, timely laparotomy, close observation of changes in condition after the surgery, early detection of complications,
timely and correct treatment, as well as making correct decision for laparotomy.%目的 分析腹腔镜胆囊切除术并发症发生的原因,探讨如何减少和预防腹腔镜胆囊切除术并发症的发生.方法 回顾性分析2000年6月至2010年6月2341例胆囊良性疾病患者行腹腔镜胆囊切除术的临床资料.结果 中转开腹145例(6.2%);发生各种并发症43例(1.8%),其中胆道损伤5例,胆囊管残端钛夹滑脱导致胆漏8例,胆囊动脉出血3例,胆囊床渗血致二次手术2例,胃肠道损伤3例,胆总管结石残留6例,右肝下包裹性积液4例,腹腔脓肿3例,切口感染3例,腹部少量皮下气肿6例.结论 严格掌握手术适应证,规范化的手术操作,熟练掌握预防并发症发生的手术技巧及方法,对中转开腹的正确判断,术后严密观察病情变化,及早发现并发症,可以有效地防止并发症发生. 【总页数】2页(600-601)
【关键词】胆囊切除术,腹腔镜;胆囊疾病;并发症;预防 【作者】谢阗;林嘉瑜
【作者单位】522000,广东省揭阳市人民医院普通外科二区;522000,广东省揭阳市人民医院普通外科二区 【正文语种】中文 【中图分类】R657.4 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_china-medicine_thesis/0201254542170.html 【相关文献】
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腹腔镜胆囊切除术常见并发症分析及预防策略
