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基层医院腹腔镜胆囊切除术并发症的预防和处理 被引量:2

Prevention and treatment of complications in laparoscopic cholecystectomy in primary hospital
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摘要 目的探讨基层医院腹腔镜胆囊切除术(LC)并发症的预防和处理对策。方法回顾性分析该院65例行LC患者的临床资料。结果 64例(98.5%)顺利完成LC,中转开腹1例(1.5%);出现并发症3例(4.6%),其中胆管损伤1例(1.5%),术中术后出血1例(1.5%),肠道损伤1例(1.5%),经针对性处理均治愈出院。结论应从思想上加强腹腔镜手术操作的风险认识,严格选择手术病例和适应证,术中做到规范和精细操作,可最大限度地预防和减少LC术并发症的发生。 Objective To investigate the prevention and treatment of operative complication in laparoscopic eholeeystectomy(LC) in primary hospital. Methods The clinical data of 65 cases received LC were analyzed retro- spectively. Results Operation was successfully performed in 64 eases(98.5% ) and one case was converted to lapa- rotomy(1.5% ); 3 patients suffered from complications (4. 6% ), which were corroborated that one patient was the bile duct injury( 1.5% ), another was the intraoperative and postoperative hemorrhage( 1.5% ) and the other was the intestinal tract injury ( 1.5% ). These 3 patients all recovered after laparoscopic repair operation. Conclusion Strengthening the thought on laparoscopie operation risk awareness, strictly controlling operation indications and choo- sing cases, ensuring intraoperative standard and fine operation can inaximally rednce or even prevent the incidence of complications of LC.
作者 何文真
出处 《中国临床新医学》 2013年第10期997-999,共3页 CHINESE JOURNAL OF NEW CLINICAL MEDICINE
关键词 胆囊切除术 腹腔镜 并发症 Cholecystectomy Laparoscope Complications
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