腹腔镜胆囊切除术前腹腔脏器全面检查的意义

目的 探讨腹腔镜胆囊切除术(LC)术前腹腔脏器全面检查的重要性.方法 回顾性分析我院1991年5月至2006年5月收治的6395例行腹腔镜手术患者的临床资料.结果 6395例患者中,术中发现腹腔肿瘤5例,术后1年内发现腹腔肿瘤4例;其中胃窦异位胰腺1例,胃癌3例,原发性肝癌2例,升结肠癌2例,直肠癌1例.所有患者都接受手术治疗,除异位胰腺患者外,其余8例在术后6个月～3年死于肿瘤复发或转移.结论 应重视腹腔镜胆囊切除术前腹腔脏器的全面检查,特别是针对腹腔恶性肿瘤方面的检查,以尽量减少漏诊.

The importance of complete abdominal examination before laparoscopic cholecystectomy

Objective To explore the importance of complete abdominal examination before laparoscopic cholecystectomy. Methods LC had been performed (on 6395 patients) during last 15 years in this hospital. Their records were reviewed and analyzed. Results Nine patients (0.14%) with abdominal tumor, 1 ectopic pancreas of antral gaster, 3 gastric cancer, 2 primary hepatocellular carcinoma, 2 right colic cancer, 1 rectal cancer were found. All these patients had received operation, but 8 patients (88.9%) died of metastasis or recurrence after operation 6 months to 3 years. Conclusions Comprehensive abdominal examination before laparoscopic cholecystectomy is important, especially searching for abdominal cancer.