基层医院腹腔镜胆囊切除应注意的问题

The some problem about LC should be observed in primary hospital.

目的:总结基层医院开展腹腔镜胆囊切除术(Laparoscopic cholecystectomy,LC)的经验。方法:回顾分析我院2006年6月至2007年9月65例腹腔镜胆囊切除术的临床资料。结果:65例均顺利完成手术,无中转开腹手术,术后恢复顺利,无胆漏、出血、黄疸等并发症,住院5～7天。结论:组建专门手术班子、严格手术指征、正确及时中转开腹手术、放宽腹腔引流指征是基层医院开展LC必须注意的问题。

Objective To summarize the experience of LC in primary hospital.Methods The data of 65 patients underwent LC from june 2006 to September 2007 in our hospital was retrospectively analyzed.Results sixty-five patients were performed suecessfully.No patients were converted to open procedure.No complication occured .The hospitalization was 5-7d. Conclusions The critical problem to develop LC in primary hospital is to build up special technical team , to select indications of operation strickly, correctly and timely converting open procdure.The indications of placing peritoneal cavity drainage tube should not be strictly limited.