腹腔镜治疗胆系结石1521例报告

Analysis of 1 521 cases with cholelithiasis received laparoscopic cholecystectomy

目的:探讨腹腔镜治疗胆系结石的安全因素。方法:回顾分析2000年5月至2006年6月,应用腹腔镜治疗胆系结石1 521例的手术资料。结果:中转开腹9例,置腹腔引流管192例,联合切除阑尾3例,肝囊肿6例,术中胆道造影41例,确诊胆总管结石6例。并发症7例,其中胆道损伤3例,胆漏2例,术后胆管结石遗漏并胆源性胰腺炎1例,切口活动性出血1例。无死亡病例,全部治愈。结论:正确掌握手术技巧和手术时机,注重术中胆道造影及联合应用EST,能更好发挥微创的优势。

Objective： To explore safe factors of laparoseopie eholeeysteetomy as the surgical treatment of eholelithiasis system. Methods：The clinical data of 1 521 eases with eholelithiasis receiving laparoseopie eholeeysteetomy were reviewed retrospectively from May 2000 to June 2006. Results：l 521 eases were cured, without one eases died. Complications took place in 7 eases,involving 3 eases with bile duet injury,2 eases with bile leakage, 1 ease with Troear site bleeding, 1 ease with acute panereatitis caused by the migration of eholelithiasis omited. Converted to open eholeeysteetomy were required in 9 eases, abdominal drainage table was put in 192 eases. Intraoperative eholangiography were performed in 41 eases, in which 6 cases had been diagnosed common bile duct calculi. Conclusions： The doctor must master correctly operative skill and opportunity of LC, to attach importance to perform intraoperative cholangiography and to integrate EST that give full play to mini-trauma.