经腹腔镜胆囊切除术并发症的预防和治疗

Prevention and Management of Complications with Laparoscopy Cholecystectomy

目的 避免经腹腔镜行胆囊切除术并发症的发生。方法 回顾性总结分析本院从 1993年 2月至1998年 5月行经腹腔镜胆囊切除术病例 ,共计 12 0 0例。结果 胆管损伤 3例 ,胆囊管残端瘘 2例 ,胆囊动脉后支撕脱出血转开腹止血术 2例。结论 严格的术前检查和规范的手术程序可大大减少腹腔镜胆囊切除术的并发症。

Objective To prevent the complication of laparoscopy cholecystectomy(LC). Methods This text analysed 1 200 cases retrospectively with LC from Feb.1993 to May.1998. Results Three cases with biliferous duct injury,two cases with bile leakage from the stamp of cystic duct,two cases with gallbladder artery injury. Conclusions Strictive preoperative examination and standard operative procedure can rdeuce markedly complication of LC.