摘要
1992年9月至1993年8月,我院共实施腹腔镜胆囊切除术300例,其中男104例,女196例,年龄12~76岁。行全麻176例,持续硬膜外麻醉124例(41%);中转开腹16例(5.3%),无一例胆管损伤和死亡,治愈率达100%。术后共发生并发症12例(4%),其中出血2例,经开腹止血愈;漏胆5例,经开腹引流1例,穿刺引流4例治愈。作者认为预防并发症的关键在于手术操作熟练和认清局部解剖关系。在遇粘连严重致局部解剖不清时应果断中转开腹。
The article reportes 300 cases of laparoscopic cholecystectomy performed in Chengdu General Hospital of P. L. A. from october 1992 to august 1993. 16 of 300 were converted t:o open procedure. The number of postoperative complication cases was 12 (4%).