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腹腔镜胆囊切除术并发症的防治 被引量:20

Complications following laparoscopic cholecystectomy:Prevention and treatment
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摘要 目的 探讨腹腔镜胆囊切除术 (laparoscopiccholecystectomy ,LC)并发症的预防和处理。 方法 回顾性总结 90 2例LC并发症种类、处理方法和预防措施。 结果  90 2例中发生胆总管损伤 2例 ,胆总管结石残留 2例 ,阴囊气肿 4例。胆管损伤和胆总管残留结石均经再次手术治愈 ,阴囊气肿自行吸收。中转开腹手术 31例 ,全组病例均获治愈。 结论 腹腔镜胆囊切除术并发症重在预防 。 Objective To discuss the prevention and treatment for complications following laparoscopic cholecystectomy (LC). Methods A total of 902 cases were summarized retrospectively with regard to causes, prevention and treatment of complications following LC. Results Out of the 902 cases, there were 2 cases of bile duct injury, 2 cases of residual calculi of common bile duct, and 4 cases of scrotum emphysema. The bile duct injury and residual calculi were all cured by re-operation, while the scrotum emphysema dissolved of itself without medical treatment. A conversion to open surgery was required in 31 cases. All the cases in the study were cured. Conclusions Emphasis should be laid on the prevention of complications after LC. A prompt conversion to open cholecystectomy is the key to the lowering of complication rate.
出处 《中国微创外科杂志》 CSCD 2004年第6期464-465,共2页 Chinese Journal of Minimally Invasive Surgery
关键词 腹腔镜胆囊切除术 并发症 Laparoscopic cholecystectomy Complication
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