小切口胆囊切除术的并发症及其原因的探讨

Clinical analysis of the reasons of minicholecystectomy complications

目的探讨小切口胆囊切除术 (MC)的并发症及其原因。方法回顾 15 32例MC后发生并发症的 2 5例患者的临床资料 ,分析导致这些并发症的原因。结果 2 5例小切口胆囊切除术的病例中 ,术中胆道损伤 5例 ,胆囊动脉出血 3例 ,胆心反射 4例 ,术后胆漏 2例 ,切口感染 6例 ,漏诊胃癌 1例 ,漏诊胆囊癌 2例 ,小胆囊 2例。结论其主要原因是切口过小 ,术野暴露欠佳 ,操作空间小 ,过度牵拉所致。

Objective To study the reasons of minicholecystectomy complications.Methods 25 cases of minicholecystectomy complications among 1532 cases that have had an operation of minicholecystectomy were reviewed and the reasons resulting in those complication were analysed.Results In the 25 cases of minicholecystectomy complications,there is a bile duct injury in 5 cases,bleeding of gallbladder in 3,cardia guts reflection in 4,leakage of bile in 2,infection of incisional wound in 6,missed diagnosis gastric cancer in 1,missed diagnosis carcinoma of gallbladder in 2,microcholecyst in 2.Conclusion The major causes of the minicholecystectomy complications are minimal incision,worse exposure,minimal space operation and superdrag.