腹腔镜胆囊切除术无并发症1680例临床分析

目的探讨如何正确掌握手术适应证,合理运用手术技巧,预防腹腔镜胆囊切除术（LC）并发症的临床体会。方法回顾汉中职业技术学院附属医院外科开展1680例LC术患者的临床资料,就病例选择及手术技巧的运用与并发症预防进行总结探讨。结果本组1680例LC术,中转开腹6例,中转率4.2‰。全组病例无胆道损伤、术后出血及胆漏等并发症发生。结论 LC术的成功与否,取决于病例筛选及操作者技术熟练程度,熟悉胆道解剖及变异。只要重视手术过程的每一个环节,其并发症是完全可以避免的。

Analysis of 1680 cases of laparoscopic cholecystectomy without complications

Objective To investigate how correct control operate indication,rational utilize technology in operating,analysis prevention complications in laparoscopic cholecystectomy(LC).Methods Review 1680 LC patients’s clinical formation,explore and summary how to choose appropriate and utilite operate technology and prevention complications.Results Change open cholecystctomy(OC) 6 cases in 1680 cases with LC,the change rate was 4.2‰.All cases didn’t occur biliary tract blemish and bleeding after oprating.Conclusion Success or failure in LC,depends on choose appropriate patients and operator’s technology,and to know biliary tract dissect and variation.Pay attention to all link in LC,compilications can be completely avoided.