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腹腔镜胆囊切除术并发症的防治
引用本文:吴建斌!合肥,赵成功!合肥,金宏达!合肥,李庆春!合肥,朱跃!合肥,李超志!合肥,程嗣福!合肥,邵成浩!合肥,赵久武!合肥.腹腔镜胆囊切除术并发症的防治[J].中华消化内镜杂志,1996(5).
作者姓名:吴建斌!合肥  赵成功!合肥  金宏达!合肥  李庆春!合肥  朱跃!合肥  李超志!合肥  程嗣福!合肥  邵成浩!合肥  赵久武!合肥
作者单位:解放军第一○五医院
摘    要:为了提高腹腔镜胆囊切除术(LC)的安全性,作者对600例LC的并发症加以回顾性总结。结果全组共发生并发症29例(术中14例,术后15例),占4.83%,包括胆管损伤2例,出血9例,皮下气肿2例及胃窦穿孔1例。中转剖腹14例,其中因术中出现并发症中转4例,因术后并发症再手术2例,全组均治愈出院。因此,及时中转剖腹是避免严重并发症的重要措施,为了积极稳妥地开展LC手术,手术并发症的防治值得重视。

关 键 词:腹腔镜胆囊切除术  并发症

PREVENTION AND CURE OF THE COMPLICATIONS OF LAPAROSCOPIC CHOLE- CYSTECTOMY
Wu Jianbin,Zhao Chengong,Jin Hongda,et al..PREVENTION AND CURE OF THE COMPLICATIONS OF LAPAROSCOPIC CHOLE- CYSTECTOMY[J].Chinese Journal of Digestive Endoscopy,1996(5).
Authors:Wu Jianbin  Zhao Chengong  Jin Hongda  
Abstract:ln order to improve the operative safety , authors analysed the results of 600 cases underwent laparoscopic cholecystectomy and inquired mainly into prevention and cure of the complications. The complications were found in 29 cases (4. 83% )including injuries to the extrahepatic bile duct in two cases bleeding in 9 cases ,subcutaneous emphysema in 2 cases and 1 case of gastric aritrum perforation. 14 cases were converted to open surgery ( 2. 33% ) . All of them were discharged from hospital without mortality. Authors consider that the operators must pay attention to the operative safety. lt is a impor- tant measure of avoiding the serious complications to lose no time in converting to open surgery.
Keywords:Laparoscopic cholecystectomy Complication Prevention and cure
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