摘要
目的对腹腔镜胆囊切除术发生严重并发症的常见原因进行分析。方法回顾分析986例腹腔镜胆囊切除术中出现的10例严重并发症的诊治经过。结果因钛夹松脱致胆漏2例,膈下脓肿1例,胆总管损伤3例,胆总管残余结石2例,十二指肠损伤1例,气腹针穿刺致空肠穿孔1例。经治疗未出现严重后果。结论导致腹腔镜胆囊切除并发症的原因为局部粘连、炎性水肿严重,脐孔周围严重的腹腔粘连,胆囊解剖的变异,术者经验欠丰富、操作欠熟练。
Objective To analyze frequent causes of serious complications of laparoscopic cholecystectomy (LC). Methods A retrospective analysis was made on the diagnosis and treatment of 10 cases of serious complications out of 986 cases of LC. Results The complications included 2 cases of bile leakage caused by the detachment of titanic clips, 1 case of subphrenic Abscess, 3 cases of common bile duct injury, 2 cases of residual stones in the common bile duct, 1 case of duodenal injury, and 1 case of jejunal perforation caused by the Veress needle. No severe outcomes were seen after treatment. Conclusions Causes leading to complications in LC include local adhesion, serious inflammatory edema, serious intraperitoneal adhesion around the umbilicus, anatomic variations of the gallbladder, and lack of experience and proficiency in surgical performance.
出处
《中国微创外科杂志》
CSCD
2005年第4期282-283,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
腹腔镜
胆囊切除
并发症
Laparoscopy
Cholecystectomy
Complication
