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急性胆囊炎腹腔镜切除术中腹腔引流的指征及其评价
引用本文:廖允军,张阳德,王成友,张敏杰.急性胆囊炎腹腔镜切除术中腹腔引流的指征及其评价[J].中国内镜杂志,2004,10(3):4-5,8.
作者姓名:廖允军  张阳德  王成友  张敏杰
作者单位:1. 深圳市第二人民医院,普外科,广东,深圳,518035
2. 中南大学卫生部肝胆肠外科研究中心,湖南,江沙,410008
摘    要:目的 探讨急性胆囊炎腹腔镜切除术(LC)中腹腔引流的放置指征及其作用。方法 回顾性分析426例急性胆囊炎LC的病历资料及腹腔引流的应用情况。结果 426例LC中,148例放置腹腔引流(引流组),278例未放置腹腔引流(非引流组)。引流组有12例术后并发胆漏,其中1例于术后早期经再手术证实为胆囊管钛夹脱落所致,其余11例均经充分引流而治愈。非引流组术后有3例并发腹腔积液,1例并发腹腔脓肿,均在LC1周后经再手术引流治愈。结论 腹腔引流可及早发现甚至治愈急性胆囊炎LC的并发症;适当放宽其指征是必要的。

关 键 词:胆囊炎  胆囊切除术  腹腔镜  腹腔引流
文章编号:1007-1989(2004)03-0004-02

Indication and Role of Intraperitoneal Drainage on Laparoscopic Cholecystectomy for Acute Cholecytitis
LIAO Yun-jun ,ZHANG Yang-de ,WANG Chen-you and ZHANG Min-jie.Indication and Role of Intraperitoneal Drainage on Laparoscopic Cholecystectomy for Acute Cholecytitis[J].China Journal of Endoscopy,2004,10(3):4-5,8.
Authors:LIAO Yun-jun  ZHANG Yang-de  WANG Chen-you and ZHANG Min-jie
Institution:LIAO Yun-jun 1,ZHANG Yang-de 2,WANG Chen-you 1 and ZHANG Min-jie 1
Abstract:Objective: To discussion the indication and role of Intraperitoneal Drainage(ID)on Laparoscopic Cholecystectomy(LC) for Acute Cholecytitis(AC). Methods: Four hundred and twenty-six cases of LC for AC with and without ID were analysed retrospectively.Results: Among the 426 cases,there was 148 cases with ID(group ID),the others without ID (group non-ID). All the 12 cases complicated with bile leak in group ID were cured by drainage,except one case of reoperation. However,in group non-ID,3 cases of intraabdoninal collection,and one case of intraperitoneal abscess underwent reoperation one week after the first operation.Conclusions: It is necessary to widen the indication of ID on LC for AC. ID can expose,even cure,postoperative complications in time.
Keywords:cholecytitis  cholecystectomy  laparoscopy  intraperitoneal dranaige
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