摘要
目的探讨复杂腹腔镜胆囊切除术(LC)的可行性、操作方法和术中注意事项。方法我院1998—2007年11月共实施复杂LC318例,其中急性胆囊炎176例,慢性萎缩性胆囊炎52例,既往有手术史者66例,既往有弥漫性腹膜炎病史者24例。结果共309例手术成功,中转手术9例;术后发生胆漏3例,右膈下脓肿1例。结论复杂胆囊只要采用适当的方法、恰当的步骤,术中细心操作,完成LC术是可能的。
Objective To discuss the possibility and methods to apply laparoscopic cholecystectomy （LC） for complicated cholecystitis. Methods We had treated 318 complicated cholecystitis patients from January 1998 to November 2007. Of which there were 176 acute cholecystitis, 52 chronic atrophic cholecystitis, 66 patients with surgery history and 24 patients with previous general peritonitis. Results Totally 309 cases were successfully operated, and 9 patients were turned to open cholecystectomy. There were 3 cases with biliary fistula and 1 case with subphrenic abscess postoperatively. Conclusion It is possible to apply LC for patients with complicated cholecystiti by an appropriate method, right procedure and careful operation.
出处
《中国全科医学》
CAS
CSCD
2008年第15期1396-1397,共2页
Chinese General Practice
关键词
胆囊切除术
腹腔镜
胆囊炎
腹膜炎
Cholecystectomy, laparoscopic
Cholecystitis
Peritonitis
