Clinical complications of laparoscopic cholecystectomy Analysis.docVIP

 PAGE \* MERGEFORMAT 6 Clinical complications of laparoscopic cholecystectomy Analysis Of: Wang Chao, Meng Bin, Chen Lei, Pan Bingcheng, Sun and bright, Yang Guangming [Keywords:] laparoscopic cholecystectomy, complications Laparoscopic cholecystectomy (laparoscopic cholecystectomy, LC) complication rate was 1.5% [1], this article in our hospital from May 1996 to September 2008, 64 laparoscopic cholecystectomy were retrospectively analyzed complications to explore the prevention of complications of LC, are as follows. 1 Materials and Methods 1.1 Clinical data The patients were 1 783 cases, 764 cases of male and female 1019, aged 22 to 69 years old. Including 71 cases of gallstones, chronic cholecystitis 1 459 cases, 110 cases of acute cholecystitis, acute acalculous cholecystitis in 86 cases, 57 cases of gallbladder polyps. have lower abdominal surgery in 58 cases, 21 cases of upper abdominal surgery. 1.2 Procedures Anesthesia used in all cases, carbon dioxide gas to establish pneumoperitoneum, pneumoperitoneum 1.33 ~ 1.86 kPa, 4-hole laparoscopic method. Simple line LC, the cystic duct and cystic artery with titanium clips or biological clipping folder. 2 Results The patients with complications 64 cases, including 9 cases of hepatic duct injury, cystic duct injury caused by bile leakage in 24 cases, bleeding in 13 cases of residual common bile duct stones in 3 cases, wound infection in 6 cases, 6 cases of gastrointestinal injury, subcutaneous air 2 cases of swelling, abdominal effusion in 1 case. 3 Discussion Because of its small incision minimally invasive surgery, shorter operative time, rapid postoperative recovery in recent years, widely used in clinical. However, because of laparoscopic vision, instrumentation, and not familiar with the anatomy of the gallbladder often lead to bile duct injury, bleeding, biliary fistula and LC complications such as gastrointestinal injury. If not treated early, it will endanger the live