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 2 4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 inculded 14 cases of bile duct injury, 3 cases of bile leak, 1 case of duodenal injury, 5 cases intraopearative hemorrhagaes, 1 case mediastinal emphysema. The data showed that bile duct injury was the most severe complication of LC. It is suggesed 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 sereve complications are discussed and some useful advice is given in this paper.