Laparoscopic cholecystectomy in the prevention of complications.docVIP

 PAGE \* MERGEFORMAT 9 Laparoscopic cholecystectomy in the prevention of complications [Abstract] Objective To analyze the laparoscopic cholecystectomy (laparoscopic holecystectomy, LC) causes complications and to discuss prevention and response measures to reduce the laparoscopic cholecystectomy complications. Methods Retrospective analysis of our hospital from February 1996 to February 2008 via laparoscopic cholecystectomy patients, a total of 9,000 cases. Results of this group of 40 patients with postoperative bile leakage (0.44%), intraoperative bile duct injury in 24 cases (0.27%) intraoperative or postoperative bleeding in 18 cases (0.20%). Reason and unskilled operative surgeon, laparoscopic biliary anatomy identification of lack of experience, inadequate preoperative preparation, indications are not improper selection and intraoperative transit time laparotomy on. Conclusion bile leakage, bile duct injury and abdominal bleeding is a major complication of LC, focusing on operating techniques, indications and perioperative choice fully prepared to prevent and reduce complications. [Keywords:] laparoscopic cholecystectomy Laparoscopic cholecystectomy (laparoscopic cholecystectomy, LC) has become the treatment of benign gallbladder disease, gallstones and the “gold standard”, but duct injury, bile leakage and bleeding of LC is still the primary efficacy and safety of surgical complications. Our hospital 1986 to 2008 9000 patients have been implemented LC, the accumulation of certain clinical experience, the complication rate was reported earlier near the national average, significantly lower than the national average later, as Professor Liu Yongxiong said laparoscopic cholecystectomy “minor surgery, the University asked” [1] . Although laparoscopic cholecystectomy with less trauma, less pain, quick recovery, the advantages of small abdominal scar, but the bulk of cases, according to reports in the literature, the laparoscopic cholecystectomy comp