基层医院腹腔镜胆囊切除术312例临床分析

目的:探讨基层医院开展腹腔镜胆囊切除术(LC)的经验和体会。方法:对我院3年来312例LC术前、术中、术后情况进行回顾性分析。结果:由LC治愈296例(94.9%);中转开腹11例(3.5%);二次手术3例(0.96%);严重并发症5例(1.6%),均经积极处理没有后遗症发生。结论:只要重视手术过程的每一个环节,其并发症是完全可以避免的。基层医院开展LC,但必须把并发症的预防放在首位。

Clinic analysis of 312 patients treated by laparoscopic cholecystectomy in basic-level hospital

Objective:To probe into the experience of the laparoscopic cholecystectomy(LC)in the basic-level hostpitals.Methods:Review and analyze the condition of the 312 patients treated by LC from before operation,in operation and after operation in recent 3 years.Results:296 patients(94.9%) were cured by LC.11 patients(3.5%)were opened operation.3 patients(0.96%)were treated by the second operation.5 patients(1.6%) suffered serious complications,but all patients were treated well and recovered without sequelae.Conclusions:The complications may be avoided thoroughly if lay stress on onevery step during the LC.LC can be carried out in the basic-level hospitals,but must put the complication-prevention first.