腹腔镜胆囊切除术（LC）严重并发症的处理

报告１９９３－１９９８年处理的ＬＣ手术后严重并发症２４例，１６例转自外院。其中包括胆道损伤１４例，胆瘘３例，十二指肠球部损伤１例，腹腔内大出血５例纵膈气肿１例。术中显示胆道损伤系ＬＣ最严重的并发症。提示严格的术前适应性训练和规范的术中操作尤为重要。对严重并发症的诊断和治疗进行了讨论分析，并提出相应的对策。

The treatment of severe complications of laparoscopic cholecystectomy]

The treatment of 24 cases of severe complications of laparoscopic cholecystectomy (LC) in 1993-1998 is reported. Among them, 16 cases were from the other hospitals. The patients included 14 cases of bile duct injury, 3 cases of bile leak, 1 case of duodenal injury, 5 cases intraoperative hemorrhages, 1 case mediastinal emphysema. The data showed that bile duct injury was the most severe complication of LC. It is suggested that in order to prevent the complications a training of operators on adaptive exercise and standard intraoperative procedure should be undertaken. The diagnosis and treatment of severe complications are discussed and some useful advice is given in this paper.