摘要
目的:探讨腹腔镜胆囊切除术中选择性放置引流管的指征及意义。方法:回顾分析1992至1999年15000例腹腔镜胆囊切除术中放置引流管。780例的临床资料。结果:置管780例中,急性结石性胆囊炎546例,坏疽性胆囊炎34例,萎缩性胆囊炎100例。其中4例术后每日胆汁引流量400～800ml,31例胆汁引流量每日为200～300ml,余733例为血性渗出液体,无死亡病例。结论:腹腔镜胆囊切除术选择性置管引流利多弊少,并可降低术后并发症的发生率,与开腹手术引流具有同样效果。
Objective:To explore the indications and its significance of drain in the laparoscopic cholecystecto-my. Method:780 cases put drain in the laparoscopic cholecystectomy were retrospectively reviewed. Result: Among them, acute lithiasis cholecystitis 546 cases; gangrenous cholecystitis 34 cases; atrophic cholecystitis 100 cases. Postoperatively 4 cases had cholorrhagia of 400 - 800ml. per day ,31 cases had 200 - 300ml per day, the other 733 cases had bloody fluid. Conclusion: Selective putting drain in the laparoscopic cholecystectomy can reduce the occurring rate of complications and it has the same effect with that in the laparotomy.
出处
《腹腔镜外科杂志》
2001年第1期13-14,共2页
Journal of Laparoscopic Surgery
关键词
胆囊切除术
腹腔镜
引流
Cholecystectomy
laparoscope
Drain
