腹腔镜胆囊切除术120例分析

Analysis of laparoscopic cholecystectomy 120 cases

目的:探讨腹腔镜胆囊切除术手术技巧,减少并发症的发生。方法:回顾性分析本院2010年1月～2011年1月收治的行腹腔镜下胆囊切除术的120例患者的临床资料,分析术中情况及术后并发症发生情况。结果:120例腹腔镜胆囊切除术患者,中转开腹2例。所有患者均无胆管损伤、术后出血、胆漏、切口感染、肠梗阻、腹腔感染等并发症发生。结论:腹腔镜胆囊切除具有较高的安全性,合理选择手术适应证、及时中转开腹能够减少并发症的发生。

Objective： To explore the operative techniques and decrease the complications in laparoscopic cholecystectomy （LC）. Methods： 120 clinical data of patients who received LC in our hospital from January 2010 to January 2011 were analyzed with retrospective method, observed the operations process and complications. Results： 2 cases of 120 operations was convered to laparotomy, all patients had no bile duct injury, postoperative bleeding, bile leakage, wound infection, intestinal obstruction, abdominal cavity infection and other complications. Conclusion： LC is safe, reasonable selecting to operative indication and convererion to laparotomy in time can decrease complications.