摘要
目的:探讨基层医院开展腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)初期预防并发症发生的措施。方法:回顾分析我院开展LC 206例的临床资料。结果:206例中192例成功完成LC,手术时间15～120min,平均30min。术中出血5～60ml。术后引流2～4d,无渗液时拔管。术后住院3～7d。中转开腹14例,术后胆漏4例,术后胆总管残余结石2例。结论:基层医院开展LC必须经过严格培训,掌握LC的适应证,术中精细操作,合理放置引流管,适时中转开腹。
Objective：To discuss the prevention of laparoscopic cholecystectomy （LC） complication in primary hospital and in the initial stage of LC. Methods： Clinical data of 206 patients undergoing LC in our hospital was collected and analyzed. Results： One hundred and ninety-two of the 206 operations were successfully performed and 14 were convened to open surgery. The operative time was 15-120min （mean,30mia）. The intraoperative blood loss was 5-60ml. The postoperative draining time was 2-4d and the drainage tube was extracted when no effusion was found. The postoperative hospital stay was 3-7d. 4 cases of bile leakage and 2 retained calculus in common bile duct were found. Conclusions ： Strict training and indications, refined intraoperative manipulation, correct placing of drainage tube and timely conversion to open surgery should be guaranteed when LC is performed in primary hospital.
出处
《腹腔镜外科杂志》
2009年第10期784-785,共2页
Journal of Laparoscopic Surgery
关键词
胆囊切除术
腹腔镜
并发症
基层医院
Cholecystectomy, laparoscopic
Complications
Primary hospital
