腹腔镜胆囊切除术后再手术10例临床分析

目的探讨腹腔镜胆囊切除术(LC)后再手术的原因及防治。方法回顾性分析我院近5年收治的420例行LC后10例再手术患者的临床资料。结果420例中10例再手术,再手术率2.38%。再手术的主要原因为胆管损伤3例、胆漏2例、出血2例、胃肠道损伤1例、胆总管结石2例。10例术后全部治愈,无一例死亡。结论熟练的LC操作技术,合理把握手术时机及手术指征,仔细解剖胆囊三角,及时中转开腹是防治LC后再手术的关键。

Clinical analysis of 10 cases undergoing reoperation after laparoscopic cholecystectomy

Objective To investigate the causes and prevention-cure methods of reoperation after LC. Methods The data of 420 patients received LC, 10 cases of reoperation during the last 5 years were analyzed retrospectively. Results In these 420 patients, 10 cases of reoperation were performed. The reoperation rate was 2.38%.The causes of reoperation were mainly injury of common bile duct in 3 cases,bile leakage 2 cases, bieeding 2 cases, gastrointestinal injury 1 case and residual stones 2 cases. All patients were cured and no death. Conclusion It is the key points to prevent and cure the reoperation after LC,which inclueds skilled technigue, contrlling suitable operative timing and operation indication, meticulous dissecting Carot's triangle and in time converting to open abdominal surgery.