基层医院1500例腹腔镜胆囊切除术危险因素回顾分析

目的 分析基层医院腹腔镜胆囊切除术（LC）的危险因素,为预防基层医院LC手术胆道损伤提供科学依据.方法 回顾分析1 500例基层医院LC病例资料,总结手术常见并发症的危险因素.结果 1 500例病例中,中转开腹63例,共发生并发症46例,胆管损伤5例,胆漏8例,出血7例,腹腔内感染4例,其余均治愈出院.结论 重视围手术期的处理及难易程度的评估,掌握胆道系统及血管的解剖与变异,精心细致,准确无误的操作,对有效降低基层医院LC手术风险具有重要意义.

Analysis on Risk Factors in 1 500 Cases LC in Poimory Hospital

OBJECTIVE Analyze risk factors of LC in primary hospitals, and provide scientific basis for the prevention of bile duct injury in primary hospital LC operation. METHODS Retrospectively analyze of 1 500 cases of primary hospital LC cases, summarize the common complications of the operation risk factors. RESULTS In 1 500 cases, 63 cases were converted to open operation, complications occurred in 46 cases, bile duct injury in 5 cases, 8 cases of bile leakage, 7 cases of bleeding, intra-abdominal infection in 4 cases and the rest were cured. CONCLUSIONS Pay attention to evaluation of treatment and the degree of difficulty during operation period, grasp the biliary system and vascular anatomy and variation, meticulous, accurate operation, to effectively reduce the grass-roots hospitals＇ important significance of LC operation risk.