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腹腔镜胆囊切除术215例疗效分析 被引量:1

Clinical efficacy analysis of laparoscopic cholecystectomy in 215 cases
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摘要 目的探讨腹腔镜胆囊切除术(LC)在临床治疗中的意义。方法回顾性分析215例行腹腔镜胆囊切除术患者的临床资料,包括分析术中注意事项、术后并发症的预防和治疗结果。结果 215例LC治疗中,209例在腹腔镜下手术成功,中转开腹手术6例,发生率占2.7%;术中放置引流管5例,发生率为2.3%;出血2例,发生率为0.9%;胆漏1例,发生率为0.45%。结论腹腔镜胆囊切除术是一种安全可靠的手术方式,具有创伤小、恢复快、术后并发症少等优点,但应注意围术期的管理,及时发现不良情况并处理。 Objective To investigate the significance of laparoscopic cholecystectomy(LC)in the clinical treatment.Methods The clinical data of the 215 patients who underwent LC were retrospectively analyzed,including the intraoperative consideration,prevention of postoperative complication and treatment outcome.Results Of all 215 cases,LC was successfully performed in 209 cases,with 6 cases conversed to open surgery(2.7%),and drainage tube was placed in 5 cases(2.3%).The complications were 2 cases(0.9%)with bleeding and 1 case(0.45%)with biliary leak.Conclusion Laparoscopic cholecystectomy is a safe and reliable operation,with fewer traumas,recovery faster and fewer complications,but should pay attention to the perioperative management,timely detection and treatment of adverse circumstances.
作者 孙海东
出处 《临床医学》 CAS 2013年第2期15-16,共2页 Clinical Medicine
关键词 腹腔镜 胆囊切除术 治疗 并发症 Laparoscopic Cholecystectomy Treatment Complication
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