Minimally invasive incision cholecystectomy complications of common.doc

 PAGE \* MERGEFORMAT 9 Minimally invasive incision cholecystectomy complications of common [Abstract] Objective To analyze the complications of minimally invasive cholecystectomy to investigate control measures. Methods of 1997-2009 in our hospital cholecystectomy (LC, MC) in 1510 cases of 21 cases of complications were analyzed. Results one bile duct injury , 15 cases of bile leakage, bleeding in 3 cases, residual stones in 2 cases, 1 case of pulmonary embolism .15 biliary injury, bile leakage, 2 cases were found in time, 1 case of postoperative jaundice found duct injury, underwent secondary surgery common bile duct jejunum anastomosis, 1 patient underwent secondary surgery after LC bile duct repair after T tube drainage improved and discharged, and 1 abdominal pain after removal of negative pressure the ball low heat, to B-positioning recovered after percutaneous drainage. The remaining 10 cases were conservatively discharged after treatment with negative pressure the ball recovered 1 month after extubation (1 case no later than 6 months after extubation) .2 patients improved after conservative treatment bleeding cases, 1 case of secondary hemorrhage in patients cured after surgery to stop bleeding .2 biliary Postoperative residual stones were diagnosed by B ultrasound and MRCP, in which a routine ERCP, 1 .1 cases open surgery postoperative pulmonary embolism (1 week after discharge, death). Conclusion bile duct injury, bile leakage, bleeding is a micro- incision cholecystectomy complications, anatomy is unclear, improper operation, local inflammation, adhesions and individual differences is the main reason. laparotomy timely, appropriate to extend the incision, and the bile duct anatomy of attention variations Calot triangle is the main means of prevention. [Keywords:] cholecystectomy; complications; Prevention Small incision in our hospital the purposes of 1510 cases of cholecystectomy, 21 patients had complications, are discussed below. 1 Cli