腔镜手术中的医源性血管损伤

Iatrogenic vascular injury during laparoscopic surgery

随着手术技术的成熟以及微创化的趋势,腔镜手术的应用愈加广泛。但随之而来的医源性血管损伤发生率也呈升高趋势,特别是如若引起大血管损伤,可致十分严重的后果,甚至危及病人生命。因此,外科医生需要严格掌握腔镜手术的适应证,熟悉解剖、娴熟操作,防止医源性血管损伤的发生。当血管损伤发生时,及时查明血管损伤的原因及部位,结合术中具体情况及术者临床经验,选择是否中转开放手术,必要时在专业的血管外科医生协助下依据血管外科治疗原则,进行血管破口的修补或血运的重建,这些措施对于确保病人生命安全具有重要意义。

With the improvement of surgical techniques and the trend of minimally invasive surgery,laparoscopic surgery has been widely used for various kinds of diseases,while iatrogenic vascular injuries during laparoscopic surgery dramatically increase which may lead to fatal results. Thus surgeons should prevent the complications by strict indication, clear anatomy and surgical skills. If vascular injury occurs,the injured vessels should be clarified and vascular surgeons are required to help reconstruct the blood supply when necessary.