摘要
总结我院1992年1～11月施行腹腔镜胆囊切除术120例经验,其中30例术前、术中及术后进行动脉血气介析。治疗结果示手术成功111例,中转开腹手术9例(7.5％),并发症发生率6.7％,死亡率089％,气腹状态可致不同程度高碳酸血症且多见老年患者,作者重点讨论适应症,如何术前判断手术难易度,本术式对高龄和伴发心肺疾病患者的应用价值和并发症的防治。
This paper reports the experience of our performing 120 laparoscopic cholecystectomy (LC) from January to Novermber 1992 in our hospital. The arterial blood gas measurement was taken before and after peritoneal CO, . insufflation and at intervals during LC in 30 of the 120 patients. LC was performed successfully in 111 cases. Conversion to open cholecvstectomv occureed in 9 cases (9.5%). The complication rate was 6.1% . The death rate was 0. 89% in this group. In the condition of peritoneal insufflation of CO2 , the hypercapnia may occure in some patients.espe -cially in aged ones. we discussed the indication of LC,how to predict the difficulty of this operation preoperatively,the practical value of this procedure in aged patients and the patients with cardio-pulmonary disease, as well as the prevention and treatment of complications.
