腹腔镜胆囊切除术手术技巧与并发症的预防

The operation skill and the prevention of the complications of laparoscopic cholecystectomy

目的:探讨如何合理运用手术技巧避免腹腔镜胆囊切除术(LC)并发症。方法:回顾性分析我院172例LC患者的临床资料,就手术技巧与并发症预防进行探讨。结果:术中发现胆漏3例;术中出血5例;中转开腹3例,中转开腹率为1.74%。全组无胆管损伤、术后出血及胆漏等严重并发症。结论:熟悉胆囊血管和胆管的解剖变异,合理的手术技巧、规范的操作、及时果断的中转开腹可以最大限度的减少LC并发症的发生。

Objective： To discuss how to use operation skill reasonably to avoid the complications of the laparoscopic cholecystectomy （LC）. The clinic data of 172 cases performed by LC were analyzed retropectively to dissasss the operation skoll and the owovding of complications. Methods： The clinic data of 172 cases performed by LC were analyzed retropectovely to disscuss the operation skill and the owoiding of complications. Results： There are 3 cases with bile leakage and 5 case with hemorrhage during operation, 3 cases were converted to open operations midway with a rate of 1.74%. There are no such severe complications as biliary ducts injury, postoperational hemorrage and bile leakage. Conclusions： Be familiar with the anatomic variation of cholecystic vessels and biliary ducts, reasonable operation skill, standard manipulation and abdominal operation in time can decrease the complications of LC.