腹腔镜腹部手术520例临床分析

目的探讨腹腔镜在腹部手术中的应用及并发症的预防。方法回顾性分析2001年3月～2005年3月腹腔镜下胆囊切除、阑尾切除、溃疡病穿孔修补、肠粘连松解、肝囊肿开窗、直肠癌前切术等520例临床资料。结果腹腔镜手术应用12种类，520例中有5例因胆囊三角解剖不清且胆囊萎缩而中转开腹手术，2例因术中出血而中转开腹。手术并发症3例（0．58％），其中胆管损伤2例。出血1例。结论腹腔镜手术的适应证随技术进步和设备改善将逐步拓宽；严格腹腔镜手术程序，严重并发症发生率可降低。

Clinical analysis of 520 cases undergoing laparocopic operation

Objective:To study the clinical application of laparoscopic operation and the morbidity and their prevention.Methods:To review retrospectively 520 cases clinical date of laparoscopic cholecystectomy,appendectomy,repair of perforated duodenal ulcer,release of intestinal adhesion,fenestration of hepatic cyst and sigmoid-rectal anterior resection was conducted performed between March,2001 and March,2005.Result:laparoscopic operation was used in 12 conditions.Out of 520 cases these were 5 cases of conversion into open cholecystectomy because of difficult in calot's triangle dissection.2 cases because of hemorrhage.Complication occurred 3 cases included injury of choleduct(2),hemorrhage(1).Conclusion:With advanced technology and improvement in medical instrument,the indication of laparoscopic surgery may be broadened;the major complications can be reduced by strict procedures of laparoscopic operation.