腹腔镜联合手术728例临床分析

Clinical Analysis of Combined Laparoscopic Surgery: A Report of 728 cases

目的探讨腹腔镜联合手术的优越性。方法回顾分析1992年7月～2006年3月开展腹腔镜联合手术728例临床资料，其中腹腔镜胆囊切除术（laparoscopic choleeysteetomy，LC）联合肝囊肿开窗引流术586例，LC联合阑尾切除术80例，Lc联合卵巢囊肿切除术46例，LC联合肾囊肿去顶引流术16例。结果726例在腹腔镜下完成手术，2例因腹腔粘连中转开腹，无胆道损伤、出血、感染、死亡等并发症发生。512例随访2～60个月，平均16个月，无胆道结石及肝、肾、卵巢囊肿复发。结论腹腔镜联合手术一次性处理两种或两种以上腹部病变是安全有效的，具有创伤小、痛苦轻、恢复快等优点。

Objective To explore advantages of combined laparoscopic surgery （CLS）. Methods The clinical data of 728 cases of CLS from July 1992 to March 2006 were analyzed retrospectively, including 586 cases of laparoscopic cholecystectomy （LC） combined with fenestration drainage of hepatic cysts, 80 cases of LC combined with appendectomy, 46 cases of LC combined with oophorocystectomy, 16 cases of LC combined with unroofing and drainage of renal cysts. Results 726 cases of CLS were successfully performed, and 2 cases were converted to open surgery for abdominal adherence, with no complications such as bile duct injury, hemorrhea, infection and death occurred. During a mean follow-up period of 16 months （range, 2 -60 months） in 512 cases, no biliary calculi, recurrence of liver, kidney and ovarian cysts occurred. Conclusions CLS for two kinds or more abdominal diseases in one operation is safe and effective, with advantages of minimal invasion, less pain, and quicker recovery and so on.