期刊文献+

电视腹腔镜胆囊切除术治疗胆囊颈部结石嵌顿、急性化脓性胆囊炎临床研究 被引量:9

Laparoscopic Cholecystectomy for Gallbladder Calculi Incarceration and Acute Suppurative Cholecystitis:A Clinical Study
下载PDF
导出
摘要 目的探讨电视腹腔镜治疗胆囊结石、化脓性胆囊炎的可行性、安全性、疗效及并发症。方法回顾性分析我科2005年1月~2009年12月5年间电视腹腔镜治疗胆囊颈部结石嵌顿、化脓性胆囊炎256例病例资料。结果 245例手术顺利完成,4例术中出血、7例胆管损伤中转开腹,发生率分别为1.56%、2.73%;3例术后合并多器官功能衰竭死亡,死亡率1.17%,11例术后胆漏,发生率4.29%,5例切口感染,发生率1.95%,242例痊愈,治愈率94.53%。结论电视腹腔镜治疗胆囊结石、化脓性胆囊炎与传统的剖腹手术比较,具有切口创伤小、患者痛苦少、住院时间短、术后并发症少等特点。 Objective To evaluate the feasibility, safety, efficacy and complications of laparoscopic cholecystetomy (LC)for gallbladder calculi incarceration and suppurative cholecystitis. Methods A retrospective analysis was made of the clinical data of 256 cases of gallbladder calculi incarceration and suppurative cholecystitis in our hospital from Jan. 2005 to Dec. 2009. Results All 245 cases were treated by using LC successfully, four cases showed bleeding in the surgery( 1.56% ), seven cases were converted to laparotomy because of bile injury(2.73%), 3 cases died of multiple organ failure (1.17%), biliary leak after surgery occurred in 11 cases (4.29%),infection of wound occurred in 5 cases (1.95%)and 242 eases were cured(94.53% ).Conclusion LC is superior to traditional laparotomy,with small incision, less pain, shorter hospitalizalion and fewer complications.
作者 肖忠承 魏波
出处 《中国现代医生》 2010年第29期130-131,共2页 China Modern Doctor
关键词 胆囊结石 胆囊炎 电视腹腔镜 胆囊切除术 Cholecystolithiasis Cholecystitis Laparoscope Cholecystectomy
  • 相关文献

参考文献4

二级参考文献10

共引文献76

同被引文献39

  • 1周少波,崔培元.腹腔镜与开腹手术治疗急性胆囊炎的疗效对比分析[J].中国内镜杂志,2008,14(8):870-872. 被引量:66
  • 2陈训如.如何安全地完成腹腔镜胆囊切除术[J].中华肝胆外科杂志,2004,10(11):783-786. 被引量:38
  • 3张成武,赵大建,邹寿椿,胡智明,吴伟顶,叶再元.急性结石性胆囊炎腹腔镜手术时机及中转开腹影响因素的探讨[J].中华肝胆外科杂志,2006,12(12):821-824. 被引量:97
  • 4Remzi FH, Kirat HT, Kaouk JH, et al. Single-port laparoscopy in colorectal surgery[ J]. Colorectal Dis, 2008,10( 8 ) :823-826.
  • 5Fuente SG, DeMaria EJ, Reynolds JD, et al. New development in surgery : natural orifice transluminal endoscopic surgery [ J ]. Arch Surg, 2007,142 ( 3 ) :295-297.
  • 6于皆乎,沈志祥,罗和生.实用消化病学[M].北京:科学出版社.2007:852-853.
  • 7Palanivelu C, Rajan PS, Rangarajan M, et al. Transumbilical flexible endoscopic chlecystectomy in humans:first feasibility study using a hybrid technique [ J ]. Endoscopy, 2008,40 ( 5 ) :428-431.
  • 8Gill IS, Canes D, Aron M, et al. Single port transumbilical (ENOTES) donor nephrectomy [ J ]. J Urol, 2008,180,180 ( 2 ) : 637-641.
  • 9Zhang WJ, Li JM, Wu GZ, et al. Risk factors affecting conversion in patients undergoing laparoscopic cholecystectomy [ J ]. ANZ J Surg, 2008,78( 11 ) :973-976.
  • 10黄洁夫.肝胆胰外科学[M].北京:人民卫生出版社,2010:1144-1148.

二级引证文献81

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部