腹腔镜胆囊切除术并发症的防治

目的 探讨腹腔镜胆囊切除术(Laparoscopic cholecystectomy,LC)胆管损伤、胆漏和出血并发症的防治。方法 回顾分析1993年10月至2003年1月1100例Lc的临床资料。结果手术并发症：胆管损伤1例(0．09％)、胆漏3例(0．27％)、腹腔内出血4例(0．36％),均经手术及保守治疗治愈。结论 术中正确识别与处理变异胆囊管和胆囊动脉,避免电灼伤周围组织,冷静处理术中出血,是减少胆管损伤、胆漏及出血的重要措施。

Prevention and treatment of complications of laparoscopic cholecystectomy

Objective To investigate the prevention and the treatme nt of the complications of laparoscopic cholecystectomy, including bile duct injury, bile leakage and bleeding. Methods 1 100 patients undergoing laparoscopic cholecystectomy from October 1993 to January 2003 were retrospectively analyzed. Results Operative complications included bile duct injury in one case (0 09%), bile leakage in three cases (0 27%), and bleeding in four cases (0 36%). All these complications were cured using operation and non operation methods. Conclusions To prevent bile duct injury, bile leakage as well as bleeding, abnormal cystic duct and cystic artery should be identified, and electric damage to the surrounding tissues should be avoided during operation.