| 腹腔镜胆囊切除术并发症的防治 |
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| 引用本文： | 郭国徽,舒秉俊,金鑫,周启旭,王平.腹腔镜胆囊切除术并发症的防治[J].中国微创外科杂志,2004,4(6):464-465. |
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| 作者姓名： | 郭国徽 舒秉俊 金鑫 周启旭 王平 |
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| 作者单位： | 江西省南昌市第一医院腔镜外科,南昌,330008 |
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| 摘 要： | 目的探讨腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)并发症的预防和处理. 方法回顾性总结902例LC并发症种类、处理方法和预防措施. 结果 902例中发生胆总管损伤2例,胆总管结石残留2例,阴囊气肿4例.胆管损伤和胆总管残留结石均经再次手术治愈,阴囊气肿自行吸收.中转开腹手术31例,全组病例均获治愈. 结论腹腔镜胆囊切除术并发症重在预防,适时主动中转开腹是降低LC并发症发生率的关键.
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| 关 键 词： | 腹腔镜胆囊切除术 并发症 |
| 文章编号： | 1009-6604(2004)06-0464-02 |
| 修稿时间： | 2003年5月19日 |
Complications following laparoscopic cholecystectomy:Prevention and treatment |
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| Guo Guohui,Shu Bingjun,Jin Xin,et al..Complications following laparoscopic cholecystectomy:Prevention and treatment[J].Chinese Journal of Minimally Invasive Surgery,2004,4(6):464-465. |
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| Authors: | Guo Guohui Shu Bingjun Jin Xin |
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| Institution: | Guo Guohui,Shu Bingjun,Jin Xin,et al. Department of Laparoscopic Surgery,Nanchang First Hospital,Nanchang 330008,China |
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| Abstract: | Objective To discuss the prevention and treatment for complications following laparoscopic cholecystectomy (LC). Methods A total of 902 cases were summarized retrospectively with regard to causes, prevention and treatment of complications following LC. Results Out of the 902 cases, there were 2 cases of bile duct injury, 2 cases of residual calculi of common bile duct, and 4 cases of scrotum emphysema. The bile duct injury and residual calculi were all cured by re-operation, while the scrotum emphysema dissolved of itself without medical treatment. A conversion to open surgery was required in 31 cases. All the cases in the study were cured. Conclusions Emphasis should be laid on the prevention of complications after LC. A prompt conversion to open cholecystectomy is the key to the lowering of complication rate. |
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| Keywords: | Laparoscopic cholecystectomy Complication |
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