摘要
目的:探讨腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)术中减少胆管损伤的策略,以提高手术安全性。方法:回顾分析2003年6月至2008年6月我院行LC286例患者的临床资料。结果:278例成功完成手术,中转开腹8例,占2.80%。平均手术时间(60±30)min,术后第2天下床活动,并开始进食。发生胆漏1例;胆管损伤2例,约占0.70%,1例术中发现,经手术治疗痊愈,另1例转入上级医院,余无其他严重并发症发生。结论:胆管损伤的预防重于治疗,只有掌握扎实的解剖知识、熟练的腹腔镜技术和适时的中转开腹,才能不断减少胆道损伤。
Objective：To investigate how to reduce the bile duct injury in laparoscopic cholecystectomy （LC） to improve the safety of surgery. Methods： The clinical data of 286 cases undergone LC in our hospital from Jun. 2003 to Jun. 2008 were retrospectively analyzed. Results： The mean operative time was （60 ± 30） rain, and 8 cases were converted to open surgery, which accounted 2.80%. Patients could get out of bed and take food on the second day after operation. Bile leakage occurred in one case. Bile duct injury were found in two cases, which accounted 0.70%. One of bile duct injury was found during surgery and treated operatively, and the other was transferred to superior hospital and healed after treatment. There were no other serious complications. Conclusions： Prevention is more important than treatment for bile duct injury. In order to reduce bile duct injury, we should master anatomy, laparoscopic technique and indication of laparotomy.
出处
《腹腔镜外科杂志》
2009年第5期357-359,共3页
Journal of Laparoscopic Surgery
关键词
胆囊切除术
腹腔镜
胆管损伤
并发症
预防
Cholecystectomy, laparoscopic
Bile duct injury
Complication
Prevention
