Laparoscopic cholecystectomy difficulty of classification.docVIP

 PAGE \* MERGEFORMAT 11 Laparoscopic cholecystectomy difficulty of classification [Keywords:] laparoscopic cholecystectomy, surgical difficulty, grading Our hospital from April 1997 to April 2008 a total of laparoscopic cholecystectomy (laparoscopic cholecystectomy, LC2 700 cases were followed by retrospective analysis of 2453 patients with operation time, blood loss, the gallbladder not broken, after recovery data, combined with preoperative examination to determine indicators for comparison, we try to ease the operation of the LC classification, in order to arrange for the clinical experience of physicians with the appropriate operation to provide a quantitative basis. Our objective is to maximize control of both LC surgical complications, but also conducive to growth surgeon’s experience. now report clinical data as follows. 1 Subjects and methods 1.1 Case Our hospital from April 1997 to April 2008 patients were performed LC 2 700 cases. Where men and 731 cases and 1 female 969. Aged 12 to 86 years, mean age 50.3 years. All the cases were cholecystitis, cholelithiasis patients. The average operation time of 57.7 min, mean operative blood loss was 10.6 ml. intraoperative gallbladder rupture of 373 cases, intraoperative cholangiography in 266 cases. The mean postoperative hospital stay was 3.1 days. complications: one case of common bile duct transection, 2 bile leakage, 2 cases of bleeding, residual common bile duct stones in 3 patients. All patients were cured. followed up 2453 patients were followed up 1 month to 12 years, no major complications. 1.2 statistics and analysis 2 of 453 cases were followed up for clinical data, surgical time, blood loss, whether the rupture of three aspects of gallbladder surgery more difficult as an objective index, preoperative patients were age, duration of disease, gallbladder ultrasound, acute attack, combined pancreatitis , cirrhosis, diabetes and other factors were analyzed individually. 1.2.1 Age