腹腔镜手术265例报告

目的 :探讨腹腔镜外科手术的方法与疗效。方法 :行腹腔镜胆囊、阑尾、腹股沟疝、肠粘连、子宫附件等手术 2 6 5例。结果 :成功行腹腔镜胆囊切除术 2 32例 ,阑尾切除术 2 2例 ,肝囊肿开窗 2例 ,卵巢切除 5例 ,疝修补或者疝囊高位结扎 7例 ,肠粘连松解术 1例 ,子宫切除 1例 ,不孕症通水及盆腔松解粘连术 3例 ,输卵管病灶切除 2例。中转开腹 2例 ,其中 1例胆囊坏疽 ,分离困难 ,另 1例为术中胆囊动脉上钛夹时撕裂出血。二次手术 1例 ,为胆囊管关闭不全引起胆漏。术后均痊愈出院 ,无严重并发症发生。结论 :腹腔镜外科手术安全、有效 ,具有创伤小、术后恢复快等优点

Laparoscopy in abdominal diseases

Objective:To evaluate the clinical value of laparoscopy in abdominal diseases.Methods:Surgery was performed in 265 cases of cholecystectomy?appendectomy?inguinal hernia?intestinal adhesion?uterus and appendage etc.Results:232 cases were performed LC,22 cases were performed appendectomy,2 cases had liver cyst,5 cases had ovarian cyst,7 cases had hernia operation,1 case had lysis of intestinal adhesion,1 case had hysterectomy,3 cases had hydrotubation monitored and adhesiolysis of perisalpingoovaritis,2 cases had resection of tubal focus. 2 cases transferred to open laparotomy,the others were operated with laparoscopy successfully.1 case had bile leak complication,the others recovered smoothly.Conclusions:Laparoscopic cholecystectomy is the major selection of laparoscopy.With the increasing of technical competence of laparoscopy,the range of laparoscopy can be expanded.