| 摘要: |
| ［摘要］ 目的 探讨基层医院腹腔镜胆囊切除术（LC）并发症的预防和处理对策。方法 回顾性分析该院65例行LC患者的临床资料。结果 64例（98.5%）顺利完成LC，中转开腹1例（1.5%）；出现并发症3例（4.6%），其中胆管损伤1例（1.5%），术中术后出血1例（1.5%），肠道损伤1例（1.5%），经针对性处理均治愈出院。结论 应从思想上加强腹腔镜手术操作的风险认识，严格选择手术病例和适应证，术中做到规范和精细操作，可最大限度地预防和减少LC术并发症的发生。 |
| 关键词: 胆囊切除术 腹腔镜 并发症 |
| DOI：10.3969/j.issn.1674-3806.2013.10.25 |
| 分类号:R 657.4 |
| 基金项目: |
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| Prevention and treatment of complications in laparoscopic cholecystectomy in primary hospital |
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HE Wen-zhen
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Department of General Surgery, the People′s Hospital of Pubei County, Guangxi 535300, China
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| Abstract: |
| ［Abstract］ Objective To investigate the prevention and treatment of operative complication in laparoscopic cholecystectomy(LC) in primary hospital.Methods The clinical data of 65 cases received LC were analyzed retrospectively.Results Operation was successfully performed in 64 cases(98.5%) and one case was converted to laparotomy(1.5%); 3 patients suffered from complications(4.6%), which were corroborated that one patient was the bile duct injury(1.5%), another was the intraoperative and postoperative hemorrhage(1.5%) and the other was the intestinal tract injury(1.5%). These 3 patients all recovered after laparoscopic repair operation.Conclusion Strengthening the thought on laparoscopic operation risk awareness, strictly controlling operation indications and choosing cases, ensuring intraoperative standard and fine operation can maximally reduce or even prevent the incidence of complications of LC. |
| Key words: Cholecystectomy Laparoscope Complications |
