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腹腔镜胆囊切除术并发症发生的相关影响因素分析 被引量:5

Analysis of related influencing factors of complications in laparoscopic cholecystectomy
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摘要 目的分析腹腔镜胆囊切除术并发症发生的相关影响因素.方法选取2017年11月至2018年12月本院收治的采取腹腔镜胆囊切除术治疗患者200例的临床资料进行回顾性分析,观察患者术后并发症发生率,同时采用单因素Logistic回归分析法与多因素Logistic回归分析法分析患者术后出现并发症的相关影响因素.结果本研究200例患者共有16例患者术后出现并发症,并发症发生率为8.0%.单因素分析发现,急诊手术、胆囊壁增厚、胆囊周围组织粘连、calot三角粘连等因素是造成患者术后出现并发症的相关因素(P<0.05);通过多因素分析发现,急诊手术、胆囊壁增厚、胆囊周围组织粘连、calot三角粘连是造成腹腔镜胆囊切除术患者出现术后并发症的高危因素(P<0.05).结论引起腹腔镜胆囊切除术患者出现术后并发症的因素有很多,需要加强急诊手术、胆囊壁增厚、胆囊周围组织粘连以及calot三角粘连患者的临床观察,做好相应的预防措施,降低患者术后并发症的发生率.
作者 邵加厂 Shao Jiachang
出处 《当代医学》 2019年第35期149-150,共2页 Contemporary Medicine
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  • 1唐向东,杨富田,杨富昌,廖继燕,曾祥武,刘本绪,王奎,谭军,陈剑,徐建军.腹腔镜胆囊切除术并发症的处理及预防[J].医师进修杂志,1994,17(7):9-10. 被引量:3
  • 2Tangjaroen S, Watanapa P. Unclosed fascial defect: is it the risk to develop port-site hernia after laparoscopic cholecystectomy?[J]. J Med Assoc Thai, 2014, 97(2):191-194.
  • 3Sulpice L, Garnier S, Rayar M, et al. Biliary cirrhosis and sepsis are two risk factors of failure after surgical repair of major bile duct injury post-laparoscopic cholecystectomy[J]. Langenbecks Arch Surg, 2014, 399(5):601-608.
  • 4Haltmeier T, Benjamin E, Inaba K, et al. Early versus delayed same-admission laparoscopic cholecystectomy for acute cholecystitis in elderly patients with comorbidities[J]. J Trauma Acute Care Surg, 2015, 78(4):801-807.
  • 5Bansal VK, Misra MC, Rajan K, et al. Single-stage laparoscopic common bile duct exploration and cholecystectomy versus two-stage endoscopic stone extraction followed by laparoscopic cholecystectomy for patients with concomitant gallbladder stones and common bile duct stones: a randomized controlled trial[J]. Surg Endosc, 2014, 28(3):875-885.
  • 6Pitt SC, Jin LX, Hall BL, et al. Incidental gallbladder cancer at cholecystectomy: when should the surgeon be suspicious?[J]. Ann surg, 2014, 260(1):128-133.
  • 7Sato N, Yabuki K, Shibao K, et al. Risk factors for a prolonged operative time in a single-incision laparoscopic cholecystectomy[J]. HPB(Oxford), 2014, 16(2):177-182.
  • 8Afaneh C, Abelson J, Rich BS, et al. Obesity does not increase morbidity of laparoscopic cholecystectomy[J]. J Surg Res, 2014, 190(2):491-497.
  • 9Kwon YH, Cho CM, Jung MK, et al. Risk factors of open converted cholecystectomy for cholelithiasis after endoscopic removal of choledocholithiasis[J]. Dig Dis Sci, 2015, 60(2): 550-556.
  • 10Rao A, Polanco A, Chin E, et al. Safety of elective laparoscopic cholecystectomy in patients on dialysis: an analysis of the ACS NSQIP database[J]. Surg Endosc, 2014, 28(7):2208-2212.

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