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腹腔镜胆囊切除术127例报告
作者:陈春树 
单位:南京迈皋桥医院
关键词:【关键词】 腹腔镜  胆囊切除术 
分类号:
出版年·卷·期(页码):2010·38·第二期(162-164)
摘要:

【摘要】目的 总结本院腹腔胆囊切除术127例治疗经验 方法 回顾性分析127例患者的胆囊特点、手术方法、术后恢复情况、开腹原因及预后等。 结果 全组病人中有副肝管损伤1例,剑突下切口感染3例,中转开腹4例(占全组3.1%),均治愈出院。无手术后死亡。 结论 腹腔镜胆囊切除术是安全可靠的,为减少腹腹腔镜切除术的并发症,提高手术成功率,应在病例的选择、术前准备、术中注意事项、中转开腹指征、引流管的放置及出血的处理几方面注意。

[Abstract] Objective: Summing up our experience of 127 laparoscopic cholecystectomy . Methods: Retrospective analysis of 127 cases ,including cystic features, surgical methods, postoperative recovery, prognosis and reasons for converting to open Results: Complications including 1 case of accessory hepatic duct injury,3 cases of xiphoid incision infection, four cases of conversion (3.1% ),All pations were cured and discharged. No post-operative deaths. Conclusions: Laparoscopic cholecystectomy is safe and reliable, in order to reduce abdominal complications of laparoscopic surgery,and to improve the success rate of surgery, should be put in the selection of cases, preoperative preparation, intraoperative attention indications conversion, drainage placement and bleeding should also be paid attion to..

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