[1]马涛,汤衍斌,罗蕾,等.腹腔镜胆囊切除术严重并发症10例分析[J].中国微创外科杂志,2005,05(4):282-283.
　Ma Tao,Tang Yanbin,Luo Lei,et al.Serious complications of laparoscopic cholecystectomy: An analysis of 10 cases[J].Chinese Journal of Minimally Invasive Surgery,2005,05(4):282-283.
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腹腔镜胆囊切除术严重并发症10例分析()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
05
期数:
2005年4期
页码:
282-283
栏目:
出版日期:
2005-04-30

文章信息/Info

Title:
Serious complications of laparoscopic cholecystectomy: An analysis of 10 cases
作者:
马涛; 汤衍斌; 罗蕾; 许映娜; 李国强; 陈晓芬; 孙淑明
汕头大学医学院附属第一医院腔镜科,汕头,515041
Author(s):
Ma Tao;  Tang Yanbin;  Luo Lei;  et al.
Department of Endoscopic Surgery, First Affiliated Hospital of Shantou University Medical College, Shantou 515041, China
关键词:
腹腔镜;  胆囊切除;  并发症
Keywords:
Laparoscopy; 　Cholecystectomy; 　Complication
分类号:
R657.406
文献标志码:
A
摘要:
目的对腹腔镜胆囊切除术发生严重并发症的常见原因进行分析. 方法回顾分析986例腹腔镜胆囊切除术中出现的10例严重并发症的诊治经过. 结果因钛夹松脱致胆漏2例,膈下脓肿1例,胆总管损伤3例,胆总管残余结石2例,十二指肠损伤1例,气腹针穿刺致空肠穿孔1例.经治疗未出现严重后果. 结论导致腹腔镜胆囊切除并发症的原因为局部粘连、炎性水肿严重,脐孔周围严重的腹腔粘连,胆囊解剖的变异,术者经验欠丰富、操作欠熟练.
Abstract:
Objective　To analyze frequent causes of serious complications of laparoscopic cholecystectomy (LC).　 M ethods　A retrospective analysiswasmade on the diagnosis and treatment of 10 cases of serious complications out of 986 cases of LC.　Results　The complications included 2 cases of bile leakage caused by the detachment of titanic clips, 1 case of subphrenic abscess, 3 cases of common bile duct injury, 2 cases of residual stones in the common bile duct, 1 case ofduodenal injury, and 1 case of jejunal perforation caused by theVeress needle. No severe outcomeswere seen after treatment.　Conclusions　Causes leading to complications in LC include local adhesion, serious inflammatory edema, serious intraperitoneal adhesion around the umbilicus, anatomic variations of the gallbladder, and lack of experience and proficiency in surgical performance.

参考文献/References:

[1]陈训如.我国开展腹腔镜胆囊切除术的现状与展望.腹腔镜外科杂志,2003,8(4):193.
[2]保红平,方登华,高瑞岗,等.腹腔镜胆囊切除术即刻中转开腹分析.腹腔镜外科杂志,2003,8(1):4-6.
[3]王升旗,于小荣.腹腔镜临床应用519例分析.山西医药杂志,2004,3(3):262-263.
[4]梁久银,徐义仁,刘其春,等.腹腔镜胆囊切除中转开腹原因分析.武警医学,1994,5(5):271-273.
[5]黄志强.现代腹腔镜外科学.北京:人民军医出版社,1994.149-150.
[6]胡晓生,莫伟明,贺大桥,等.腹腔镜治疗急性胆囊炎188例报告.临床外科杂志,2002,10(4):257-258.
[7]刘国礼,主编. 现代微创外科学.北京:科学出版社,2003.123-125.

更新日期/Last Update: 2014-03-31