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腹腔镜手术常见损伤的原因及分析
引用本文:历延明,张重阳,邢志勇,李晓华. 腹腔镜手术常见损伤的原因及分析[J]. 腹腔镜外科杂志, 2009, 14(11): 838-839
作者姓名:历延明  张重阳  邢志勇  李晓华
作者单位:沧州中西医结合医院,河北,沧州,061001;沧州中西医结合医院,河北,沧州,061001;沧州中西医结合医院,河北,沧州,061001;沧州中西医结合医院,河北,沧州,061001
摘    要:
目的:探讨腹腔镜手术常见损伤的原因及预防措施。方法:总结2001年2月至2008年12月我院为1 798例患者行腹腔镜手术的临床经验,分析发生损伤的原因。结果:1 798例患者中9例发生损伤,占0.5%,其中穿刺孔血管损伤致出血1例;胆总管损伤2例,均于术中发现中转开腹修复,损伤的胆总管放置"T"管;右肝管损伤2例;胃损伤1例;小肠损伤3例。结论:腹腔镜手术是安全的,只要加强腹腔镜医师的培训,充分了解可能出现的解剖变异,及时正确地应对手术过程中出现的变化,就能减少腹腔镜术中损伤所致的并发症。

关 键 词:腹腔镜检查  损伤  并发症

Analysis and causes of common injury of laparoscopic surgery
LI Yan-ming,ZHANG Chong-yang,XING Zhi-yong,et al.. Analysis and causes of common injury of laparoscopic surgery[J]. Journal of Laparoscopic Surgery, 2009, 14(11): 838-839
Authors:LI Yan-ming  ZHANG Chong-yang  XING Zhi-yong  et al.
Affiliation:LI Yan-ming,ZHANG Chong-yang,XING Zhi-yong,et al.Dept.of Mini-invasive Surgery,Cangzhou Hospital of Integrated Traditional and Western Medicine,Cangzhou 061001,China
Abstract:
Objective:To investigate the causes and prevention of common injury in laparoscopic surgery.Methods:The clinical experience of 1 798 patients who underwent laparoscopy from Feb.2001 to Dec.2008 in our hospital were summarized,the reasons of injury were analyzed.Results:Injury was found in 9 cases from 1 798 cases,which accounted for 0.5%.Of the 9 cases,1 cases of hemorrhage was caused by incision blood vessel trauma,2 cases which was common bile duct injury were found during laparoscopy and converted to lap...
Keywords:Laparoscopy  Injuries  Complications  
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