腹腔镜胆囊切除术常见并发症预防和处理——附462例报道

A Common Complication of Laparoscopic Cholecystectomy in the Prevention and Treatment: 462 Cases Reported

目的探讨腹腔镜胆囊切除术常见并发症及预防措施。方法回顾性分析我院2008年~2012年462例行腹腔镜胆囊切除术患者的资料,对患者发生的并发症及高危因素进行统计分析,提出针对性防治措施。结果在本组462例患者中,19例患者发生并发症,包括胆汁漏、胆管损伤、术后腹腔感染、出血等,并发症发生与Calot三角粘连、病程、术者操作方式、胆囊壁厚度、胆囊与周围粘连情况有明显相关性。结论腹腔镜胆囊切除术存在发生多种并发症的风险,要加强医师腹腔镜操作技术,积极预防并发症的危险因素,掌握中转开腹的时机,提高手术的安全性。

Objective To explore a common complication of laparoscopic cholecystectomy and preventive measures. Methods A retrospective analysis of 462 routine laparoscopic resection patients in our hospital from 2008 to 2012, carried out a statistical analysis of patients with complications and risk factors, the proposed targeted prevention measures. Results In the group of 462 patients, 19 patients with complications, including bile leakage, bile duct injury, postoperative abdominal infection, bleeding complications Calot triangle adhesions, duration, mode of operation of the surgeon, gallbladder wall thickness, gallbladder and surrounding adhesions significant correlation. Conclusion Laparoscopic cholecystectomy the risk of a variety of complications, laparoscopic operation techniques to strengthen the physician, risk factors actively prevent complications, and to master the timing of conversion to open surgery, to improve the safety of surgery.