Laparoscopic cholecystectomy complicated treatment of.docVIP

 PAGE \* MERGEFORMAT 9 Laparoscopic cholecystectomy complicated treatment of Of: Ye Yongqiang Wang Ge Xu Quan Bin Chen Beijian [Keywords:] gallbladder diseases, cholecystectomy, laparoscopic Laparoscopic cholecystectomy have been extensively carried out in hospitals at all levels, but the face of the complexity of laparoscopic surgery gallbladder disease, even skilled laparoscopic hepatobiliary surgery doctors, but also a headache. Which summarize complex and difficult laparoscopic cholecystectomy resection of the experience, reduce the transit rate of intraoperative and postoperative complication rate has practical significance. retrospective analysis of the line complex and difficult resection of 647 laparoscopic cholecystectomy patients with clinical data, reports summarized below. 1 Materials and Methods 1.1 General data collection in March 2002 -2007 in February at the Southwest Hospital, Third Military Medical University, 423 cases and Kosei Hospital of Jining Medical College, 224 patients underwent laparoscopic cholecystectomy, 412 patients were male, female 235 cases. Age 16 78 years old, mean age (57.6 + -7.3 years old. right upper quadrant pain, 537, of which 143 cases of fever, jaundice in 79 cases, more than 110 patients with asymptomatic or mild symptoms. gallstone 619 cases diagnosed, accounting for 95.67%, gallbladder inflammation in 28 cases, accounting for 4.33%. 34 cases of patients with diabetes mellitus, chronic obstructive pulmonary disease in 9 cases, 23 cases of hypertension, coronary heart disease in 16 patients. 1.2 Methods complicated gallstone inclusion criteria: 1 acute inflammation of the surgery or emergency surgery, 2 recurrent chronic cholecystitis, multiple seizures before surgery, 3 imaging tips thickened gallbladder wall, or the gallbladder was significantly reduced, 4 stones in the gallbladder Vater and the diametergt; 1 cm, 5 ampullary stones regardless of size, accompanied by obstruction of the cystic duct op