微创保胆取石术后并发症的原因分析及护理

Causes and nursing care for postoperative complications after minimally invasive gallbladder-preserving surgery for gallstone

目的:总结微创保胆取石术后并发症发生的原因及相应护理对策。方法:对2009年4月至2011年2月在肝胆外科行微创保胆取石术的胆囊结石122例患者的临床资料进行回顾性分析。结果:在122例保胆术后的患者中,9例发生并发症,其中包括胆漏2例,切口感染3例,消化道出血1例,术后随访1年,复发3例。结论:对术后并发症发生的原因进行探讨,并针对性地加强术后的观察及护理能预防微创保胆取石术后并发症的发生。

Objective：To summarize the postoperative complications and the corresponding nursing countermeasures after minimally invasive gallbladder-preserving surgery for gallstone.Methods：Clinical data of 122 patients who underwent minimally invasive gallbladder-preserving surgeries for gallstone in the department of hepatobiliary surgery of the Second Affiliated Hospital of Soochow University between April 2009 and February 2011 were retrospectively analyzed.Results：Among the 122 patients,9 patients had postoperative complications,including bile leakage in 2 patients,infection of incision in 3 patients and gastrointestinal bleeding in 1 patient.Gallstone recurrence occurred in the other 3 patients after 1 year follow-up.Conclusions：Causes of postoperative complications should be investigated and postoperative observation and nursing care should be strengthened to prevent the postoperative complications after minimally invasive gallbladder-preserving surgery for gallstone.