基层医院开展腹腔镜手术602例的体会

Laparoscopic operation for 602 cases in basic hospital

目的:总结基层医院开展腹腔镜微创手术的经验。方法:在连续硬膜外加静脉麻醉下为602例行腹腔镜手术,其中不孕症宫腹腔镜探查术194例,宫外孕手术148例,多囊卵巢手术91例,子宫肌瘤切除术49例,卵巢囊肿切除术47例,胆囊切除术29例,畸胎瘤切除术24例,黄体破裂修补术12例,盆腔脓肿引流术2例,阑尾切除术2例,腹腔镜子宫穿孔修补,腹腔异物取出,输卵管结扎,大隐静脉交通支离断等各1例。结果:治愈597例,发生严重并发症2例,中转开腹手术3例,无死亡病例。结论:基层医院开展腹腔镜手术是安全可行的,但需要建立稳定的手术小组,严格掌握适应证。

Objective：To summarize the experience of laparoscopic operation in basic hospital. Methods：602 patients were performed laparoscopic operation under continuous peridural and intravenous anesthesia. Of them, 194 cases had been conducted sterility explorations, 148 ectopic pregnancy operations ,91 ovarian multiple cyst operations ,49 myomectomy,47 enucleation of ovarian multiple cysts,29 laparoscopic cholecystectomies, 24 teratoma resections, 2 ruptuure of corpus luteum operations, 2 appendectomies, repair in perforation of uterus, eyewinker extraction in abdominal cavity. Tubal ligation and communicating branch lidation of great saphenous vein. Results：597 patients were cured,3 cases were transferred to open surgery. 2 cases had severe complications. Conclusions：It is safe and feasible to adopt laparoscopic operation in basic hospital when stabilization operation group is building and strict operation signs are controlled.