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腹腔镜胆囊切除术588例体会
引用本文:罗云富,何兆平,沈云辉,王国华.腹腔镜胆囊切除术588例体会[J].中国医药导报,2008,5(16):168-169.
作者姓名:罗云富  何兆平  沈云辉  王国华
作者单位:云南省永胜县人民医院外二科,云南永胜,674200
摘    要:目的:总结腹腔镜胆囊切除术的经验。方法:回顾分析我院2004年3月~2007年12月588例腹腔镜胆囊切除手术的临床资料。结果:全组共完成腹腔镜胆囊切除术578例,中转开腹10例,中转率为1.7%,胆管损伤1例,全部病人顺利康复,无手术死亡及其他并发症发生。结论:基层医院开展腹腔镜胆囊切除术应高度重视人员培训,选择适当病例,重视术前、术中、术后每一环节的处理,适时中转开腹,以减少并发症的发生。

关 键 词:胆囊切除  腹腔镜  并发症
文章编号:1673-7210(2008)06(a)-168-02
修稿时间:2008年2月15日

The experience of 538 cases of laparoscopic cholecystectomies
LUO Yun-fu,HE Zhao-ping,SHEN Yun-hui,WANG Guo-hua.The experience of 538 cases of laparoscopic cholecystectomies[J].China Medical Herald,2008,5(16):168-169.
Authors:LUO Yun-fu  HE Zhao-ping  SHEN Yun-hui  WANG Guo-hua
Institution:(The Second Department of Surgery, Yongsheng County People's Hospital, Yongsheng 674200, China)
Abstract:Objective: To summarize the experience of laparoscopic cholecystectomy(LC).Methods: The data of 588 cases of laparoscopic cholecystectomies performed from March 2004 to December 2007 were retrospectively analyzed.Results: 578 patients underwent LC successfully,10 patients were converted to open procedure and the conversion rate was 1.7%.The complication just included 1 case of bile duct injury.All patients were smoothly recovery.Conclusion: In primary hospital,it's the linchpin that practice the doctor strictly and choose the suitable patient to perform laparoscopic cholecystectomy.Convert to open procedure could be avoid severe complication.
Keywords:Cholecystectomy  Laparoscopic  Complications
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