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.
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