腹腔镜胆囊切除术1450例临床分析

Clinical analysis of 1450cases of laparoscopic choecystectomy

目的总结1450例腹腔镜胆囊切除术的经验。方法回顾分析本院2001年6月至2008年5月1450例LC患者的临床资料。结果1438例顺利完成LC,中转开腹12例,术后腹腔内出血2例,急性左心衰1例,遗漏腹腔内病变2例。结论熟悉Calot三角关系,适时中转开腹,加强术中监测及充分认识CO2气腹的影响,能避免严重并发症的发生。

Objective To summarize the experience of 1450 cases of laparoscopic cholecy stectomy （LC）. Methods The data of 1450 cases of laparoseopic cholecystectomy from June . 2001 to May. 2008 were retrospectively analyzed . Results 1438cases were performed successfully. 12 cases were converted to open procedure, 2 cases were intraperitoneal hemorrhage, 1 case acute leftventricular failure and 2 cases of omitting the lesions in abdominal cavity. Conclusions Being familiar with the anatomic structure of Calot＇ s triangle and conversion to open surgery if necessary, strengthening intraoperative monitor and recognizeing the influence of the carbondioxide pneumoperitoneum sufficiently can avoid severe complica tion.