摘要
目的探讨上腹部手术史患者行腹腔镜胆囊切除术(laparoscopic chole-cystectomy,LC)的可行性和手术特点。方法回顾分析53例上腹部手术史患者行LC的临床资料。结果53例中成功完成LC49例,中转开腹4例,患者均治愈,LC成功率92.5%。结论有上腹部手术史者行LC是安全可行的,术前的评估、气腹的建立、穿刺孔的选择、黏连的分离应予以注意。
Objective To evaluate the feasibility and characteristics of laparoscopic cholecystectomy（LC） in 53 patients who underwent upper abdominal operation previously.Methods The clinical data of the 53 patients who had undergone upper abdominal operations from August 2005 to July 2008 were retrospectively analyzed.Results LC was successfully performed in 49 patients（92.5%）.Four of the 53 patients were converted to open cholecystectomy.No complication occurred during or after the operation.Conclusions LC is feasible and safe for the patients who have received operation in the upper abdomen.
出处
《中华普外科手术学杂志（电子版）》
2009年第3期49-50,共2页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
关键词
胆囊切除术
腹腔镜
黏连
再手术
Cholecystectomy, laparoscopic
Adhesion
Reoperation
