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腹腔镜胆囊切除术切口并发症31例报告
引用本文:吴小兵,宋卫林,杨滏宁,侯强,孙彤宇. 腹腔镜胆囊切除术切口并发症31例报告[J]. 腹腔镜外科杂志, 2006, 11(3): 252-253
作者姓名:吴小兵  宋卫林  杨滏宁  侯强  孙彤宇
作者单位:中国兵器工业521医院,陕西,西安,710065;中国兵器工业521医院,陕西,西安,710065;中国兵器工业521医院,陕西,西安,710065;中国兵器工业521医院,陕西,西安,710065;中国兵器工业521医院,陕西,西安,710065
摘    要:目的:探讨腹腔镜胆囊切除术(LC)切口并发症的发生原因、治疗、预防及预后。方法:回顾1 650例LC发生切口并发症31例的临床资料。结果:31例中切口感染12例,切口下积液11例,切口裂开1例,切口出血1例,皮下淤血及血肿1例,切口疝2例,切口肿瘤种植1例,增殖性瘢痕2例。结论:严格的无菌技术,恰当的切口选择,细致和规范的技术操作,良好的麻醉配合和合理的术后处理是预防LC切口并发症的重要措施。

关 键 词:胆囊切除术  腹腔镜  并发症  切口
文章编号:1009-6612(2006)03-0252-02
收稿时间:2006-02-12
修稿时间:2006-02-12

Incision complications in laparoscopic cholecystectomy:with a report of 31 cases
WU Xiao-bing, SONG Wei-lin, YANG Fu-ning,et al.. Incision complications in laparoscopic cholecystectomy:with a report of 31 cases[J]. Journal of Laparoscopic Surgery, 2006, 11(3): 252-253
Authors:WU Xiao-bing   SONG Wei-lin   YANG Fu-ning  et al.
Affiliation:WU Xiao-bing, SONG Wei-lin, YANG Fu-ning, et al.
Abstract:Objective:To explore the cause,treatment,prevention and prognosis of incision complications in laparoscopic cholecystectomy(LC).Methods:Review the clinical data of 31 cases with incision complications,occurred in 1 650 cases received LC.Results:The incision complications of the 31 cases,include incision infection(12 cases),subincision fluid(11 cases),incision dehiscence(1 case),incision bleeding(1 case),subcutaneous congestion and hematoma(1 case),incisional hernia(2 cases),incision tumor implantation(1 case),and incision hyperplasia scar(2 cases).Conclusions:It is important to prevent incision complications of LC from occuring by strict asepsis,reasonable incision selection,careful and standard technical operation,well anaesthetic coordination and resonable postoperotive treatment.
Keywords:Cholecystectomy  laparoscopy  Complication  Incision
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