摘要
目的:探讨基层医院开展腹腔镜胆囊切除术(LC)的经验和体会。方法:回顾分析2006年6月至2010年12月1 126例LC的临床资料。结果:中转开腹11例(0.98%),置腹腔引流管134例(11.90%);严重并发症8例(0.71%),其中胆管损伤4例,胆漏3例,术后大出血1例,均经积极处理全部治愈,无死亡病例。结论:基层医院初期开展LC,只要高度重视,严格人员培训,正确掌握手术技巧和手术时机,适时中转开腹,其并发症是完全可以避免的。
Objective:To investigate the experience of the laparoscopic cholecystectomy(LC) in the basic-level hospitals. Methods:The clinical data of 1126 cases with laparoscopic cholecystectomy were analysed retrospectively from June 2006 to Dec 2010. Results:1 126 cases were cured,11 cases(0.98%) were routine on operation,abdominal drainage tuble was put in 134 cases(11.90%),8 cases(0.71%) suffered serious complications,bile duct injury in 4cases,3cases with bile leakage,upper gastrointestinal bleeding in 1cases. Conclusion:In the basic-level hospitals,the doctors carry out this operation in the initial stage,they must strengthen the training of operators,they must master correctly operative skill and opportunity of LC and routine operation,the complications may be avoided thoroughly.
出处
《现代临床医学》
2011年第2期120-121,共2页
Journal of Modern Clinical Medicine
关键词
胆囊切除术
腹腔镜
临床分析
cholecystectomy
laparoscopic
clinical analysis