摘要
目的对有上腹部手术史的患者,采用腹腔镜胆道手术方法后,对其应用情况进行探讨。方法选择我院普外科收治有上腹部手术史患者110例为研究对象,所有研究对象均进行腹腔镜胆道手术,选取的时间为2017年1月至2019年12月,观察所有患者手术完成等相关情况。结果110例患者中,103例(占比93.64%)患者成功的在腹腔镜下完成手术,另外7例(占比6.36%)患者因黏连严重分离困难,转为开腹手术。结论对有上腹部手术史的患者,采用腹腔镜胆道手术方法,具有可行性、安全性,且该方式对患者的产生的创伤较小,术后并发症少,术后患者的恢复速度快,值得在临床上应用。
Objective To explore the application of laparoscopic biliary surgery in patients with a history of upper abdominal surgery.Methods From January 2017 to December 2019,110 patients with a history of upper abdominal surgery in general surgery of our hospital were selected as the study objects.All the subjects underwent laparoscopic biliary surgery,and observed the operation completion of all patients.Results Of the 110 patients,103(93.64%)successfully completed the operation under laparoscope,and 7(6.36%)were converted to open surgery because of the difficulty of separation due to adhesion.Conclusion For patients with a history of upper abdominal surgery,laparoscopic biliary surgery is feasible and safe,and it has less trauma to patients,less postoperative complications,and faster recovery rate,which is worthy of clinical application.
作者
刘伟昌
马秀丽
蔡强
申亚龙
LIU Wei-chang;MA Xiu-li;CAI Qiang;SHEN Ya-long(Wuwei People’s Hospital,Wuwei,Gansu 733000)
出处
《智慧健康》
2020年第31期50-51,共2页
Smart Healthcare
关键词
上腹部手术史
腹腔镜胆道手术
应用效果
Upper abdominal operation history
Laparoscopic biliary operation
Application effect
