腹腔镜胆囊切除术常见并发症原因分析及对策

Cause analysis and countermeasre of complication folowing lapa- roscopic cholecystectom

目的探讨腹腔镜胆囊切除术出现并发症原因及其对策。方法回顾分析1227例腹腔镜胆囊切除术出现并发症的原因及其处理方法。结果出现各种并发症13例，其中胆管损伤2例，胆瘘2例，出血5例，小肠穿孔3例，其中死亡1例。结论严格掌握手术适应证，辨清局部解剖关系、保证术野清晰显露、根据病情灵活处理是预防各种并发症发生的关键。

Objective To explone the cause and countemeasuer of complication following laparoscopie eholecysteetomy. Methods The cause and management of complications in 1227casesof laparoscopie cholecystectomy were analyzed retrspectively. Results Related complications were found in 13 cases,including 2 cases of severe complications with bile duct injuryes,2case with bile leakage,Scase with hemorrhage and 3 case with enteric perforation, 1 of that patients died for complications. Conclusion Proper selection of patients, identification of local anatomical relationship, to ensure a clear surgical site revealed, flexibly deal with the condition of patients is the key to reducevarious complication.