胆囊切除术后再手术的原因与预防

目的: 探讨胆囊切除术后再次手术的原因、方法及防治措施。方法: 综合分析9例胆囊切除术后再手术的原因及处理方法。结果: 残余胆囊结石6例,腹腔出血1例,胆管损伤1例,胆漏1例。9例再手术患者均获得满意疗效。结论: 对胆囊切除术后仍有症状者应做全面检查,找出原因并进行相应治疗,可取得良好效果。绝大部分的再次手术通过术前评估及术中各种方法的应用是可以预防的。

Causes and prevention of reoperation after cholecystectomy

Objective:To investigate the causes and methods of reoperation after cholecystectomy as well as its prevention.Methods:The causes and methods of reoperation in 9 patients underwent cholecystectomy were analyzed.Results:The main causes were residual cholelithiasis(6/9),hemorrhage in the abdominal cavity(1/9),choledochus injury(1/9),and bile leakage(1/9).Different reoperation methods were employed according to causes of complications.Nine patients were all recovered with good curative effect.Conclusions:A reasonable method is crucial to the treatment of cholecystectomy.Almost all reoperations can be prevented through preoperative evaluation and application of variety of methods in operation.