基层医院开展腹腔镜微创手术无严重并发症的体会

Laparoscopic operation without serious complication in basic hospital

目的 :总结在基层医院开展腹腔镜微创手术的经验。方法 :在连续硬膜外麻醉下行腹腔镜微创手术 118例 ,其中阑尾切除术 7例 ,卵巢囊肿摘除术 5例 ,宫外孕手术 1例 ,胆囊切除术 10 0例 ,胆囊切除加胆总管取石术 5例。有腹部手术史 39例。结果 :无中转开腹手术与输血病例 ,均痊愈出院 ,平均住院 5 6d。结论 :连续硬膜外麻醉下行腹腔镜手术具有方便易行 ,安全 ,患者损伤小 ,痛苦小 ,效果好 ,并发症少 ,术后康复快等优点 。

Objective:To summarize the experience of laparoscopic operation in basic hospital.Methods:118 patients undertaken laparoscopic operations under continuous peridural anesthesia. Of the 118 patients, 7 had been conducted appendectomy; 5 oophorocystectomy; 1 extrauterine pregnancy operation; 100 cholecystectomy and 5 cholecystectomy plus choledocholithotomy. 39 patients had histories of abdominal operation.Results: All patients recovered after 5.6 day hospitalization and without laparotomy and blood transfusion.Conclusions:Laparoscopic operation under continuous peridural anesthesia is a simple ,safe and microtraumatic technique with less incidences of complication. It is an appropriate technique for community hospitals.