腹腔镜胆囊切除术的并发症及处理对策

Management of complications after laparoscopic cholecystectomy

目的探讨腹腔镜胆囊切除术并发症发生的原因及预防处理.方法回顾性分析我院1991年3月～2004年9月行LC的13 278例病人的临床资料,对术中、术后并发症的发生原因进行分析.结果发生并发症110例,发生率为0.83%.结论胆管损伤、胆漏和胆总管残余结石是LC的主要并发症,绝大部分并发症是能够预防和治愈的.

Objective To study the causes and management of complications after laparoscopic cholecystectomy. Methods From March 1991 to September 2004, the clinical data of 13 278 patients undergoing laparoscopic cholecystectomy were reviewed respectively. The causes of complications dur ing or after operation were analyzed. Results 110 out of 13 278（0. 83%） patients had various complications after operation. Conclusion The major complications of laparoscopic cholecystectomy included injury of common bile duct, biliary fistula and residual common bile duct stones were the main complications after laparoscopic cholecystectomy. Most of complications could be cured and prevented.