腹腔镜胆囊切除术并发症21例分析

Complications in laparoscopic cholecystectomy:A clinical analysis of 21 cases

目的：探讨腹腔镜胆囊切除术（ｌａｐａｒｏｓｃｏｐｉｃｃｈｏｌｅｃｙｓｔｅｃｔｏｍｙ，ＬＣ）并发症的防治措施。方法：根据不同情况对２１例并发症分别采取腹腔镜下处理、剖腹手术或非手术处理措施。结果：腹腔镜下处理３例，剖腹胆总管探查Ｔ管引流２例，胆肠ＲｏｕｘＹ吻合术２例，剖腹大网膜动脉结扎止血１例，非手术处理１３例。全部２１例并发症ＬＣ术后随访１～３年，恢复良好，无后遗症或远期并发症。结论：充分的术前准备、熟练的操作技术、正确掌握适应症及必要时果断转为剖腹手术，是减少ＬＣ并发症。

Objective:To analyse the methods of prevention and treatment of complications in laparoscopic cholecystectomy.Methods:Complications occurred in 21 cases were treated according to the conditions with laparoscopy,conversionto opensurgery or nonoperations.Results:3 cases treated with laparoscopy,5 cases with conversiontoopensurgery,13 cases with nonoperation.In follow study up for 1 to 3 years,all patients were in good condition.Conclusions:Preoperative preparation,choice of indication,skilfulness in technique and conversiontoopensurgery if necessary are effective in decreasing the occurrence of complication in laparoscopic cholecystectomy.