腹腔镜胆囊切除术561例临床探讨

目的进一步探讨腹腔镜胆囊切除术并发症的原因和预防措施。方法回顾分析自2003—08—2008—12我科561例胆囊疾病的病人行腹腔镜胆囊切除术的资料。结果561例中558例成功施行腹腔镜胆囊切除术，腹腔镜手术成功率99．47％，中转开腹3例；并发症4例（0．71％）中，胆管横断伤2例（0．36％），胆漏2例（0．36％）。手术时间（51．36±20．46）min；病人术后住院时间1～10d，平均（4．15±1．36）d。结论腹腔镜胆囊手术具有戳口小、创伤少、并发症少、术后痛苦少、恢复快等微创优点；但一旦发生并发症，如果处理不当后果相当严重，重视预防和提高手术技能能降低腹腔镜胆囊切除术中并发症的发生率。

Investigation on the treatment and prevention of the complications of laparoscopic cholecystectomy

Objective To investigate the methods of the treatmennt and prevention of the complications of laparoscopic choleeystectomy. Methods From August 2003 to December 2008,the data of 561 ease of laparoseopic eholeeysteetomy were analysed. Results Laparoseopic eholecysteetomy was successfully performed in 558 of 561 ca- ses（99.47% ）. There were 4 eases （0. 71% ） with eomplicatios . These involved 2 eases （0. 36% ） with a biliary leak, 2（0. 36% ）complete transversal injury of the common bile duct. The operative duration was （51.36±20.46） min; The duration for hospitalization after operation was （4. 15 ± 1.36）d. Conclusion Laparoscopic cholecystecto- my is minimally invasive technique which can be carried out safely and effectively. The complieatios can be minmized by emphasizing prevention and improving the techniques of laparoseopic eholecysteetomy.