腹腔镜胆囊切除术严重并发症26例报道.pdfVIP

Vol. 12 No.7 第 12 卷第7 期 中国内销杂志 2(刷年7 月 China Journal of Endoscopy Jul.2仪)6 文章编号: 1007…1989 ( 2006 ) 07…0740…02 腹腔镜胆囊切除术严重并发症26 例报道 李先罔，鲜其楠，江长清，胡换眷，关荣翔，五暖提 (江西省商品市第五医院普外科，江西南昌 330001 ) 摘要:目的探讨腹腔镜胆囊切除术(LC)严重并发症的原因及其对策。方法 回顾，除分析该科 3680 例 LC 各种严重并发症的临床资料。黯果胆管损伤6 例，胆痪 11 例，肠穿孔3 例，}lf外胆管结石漏诊5 例，戳孔 肿痛种植1 例。除1 例恢某校羔外，会部治愈。结论 丁敌视胆囊切除指征，注意胆囊三角的解剖关系，是防治各 种并发症的关键。 E提腔镜技术诊断和治疗 LC 术后严重并发症有1定要价值。 关键词: 腹腔镜胆囊切除术;并发症;腹腔镜技术 中回分~号: R657 .4 文献标识码: B Severe complications after laparoscopic cholecystectomy: report of 26 cases U Xian-guo, XIAN Qi-fu, JIANG Chang呵ing， HU Huan-chu n, WU Rong-xia吨:， WANG Yuan-yuan (Dep例ment 0/ General Surgery, the 冈州Hospital 0/Nanch嗣后r， Nanchang, lianxi 330001 P.R.China) Abstract: [Obj创刊] To study 由ecωses and countenn刷刷。f severe complications after laparoscopic chole叫 cystectomy (I元). [Methods] The clinic data of patien恼。f 创刊re complications in 3 680 cases of laparoscopic cholecystectomy in our department were analyzed. [议esults] 1n 26 c锦帆 bile duct is injured in 6 cωes; bile leak同 age in 11 cases; gastrointestinal is injured in 3 cases; stones removed incompletely in 5 cases; port-sites cancer im- plantation in 1 ca盹 [Concl山.ions] 1t is im阴阳tωthink highly of 由e cholecystectomy indication, paying atten由 tion to anatomy of gallbladere triangl巳 to reduce severe complication. The important value of laparoscopy in diagnosis and treatment of severe complications after laparoscopic cholecystectomy. Key words: laparoscopic cholecystomy; complication; laparoscopy 腹腔镜胆囊切除术(laparoscopic cholecystecto- 例有上腹部手术史。胆管损伤