CAJ | 학술논문

目的：探讨基层医院腹腔镜胆囊切除术（ LC ）并发症的预防和处理对策。方法回顾性分析该院65例行LC患者的临床资料。结果64例（98.5％）顺利完成LC，中转开腹1例（1.5％）；出现并发症3例（4.6％），其中胆管损伤1例（1.5％），术中术后出血1例（1.5％），肠道损伤1例（1.5％），经针对性处理均治愈出院。结论应从思想上加强腹腔镜手术操作的风险认识，严格选择手术病例和适应证，术中做到规范和精细操作，可最大限度地预防和减少LC术并发症的发生。
목적：탐토기층의원복강경담낭절제술（ LC ）병발증적예방화처리대책。방법회고성분석해원65례행LC환자적림상자료。결과64례（98.5％）순리완성LC，중전개복1례（1.5％）；출현병발증3례（4.6％），기중담관손상1례（1.5％），술중술후출혈1례（1.5％），장도손상1례（1.5％），경침대성처리균치유출원。결론응종사상상가강복강경수술조작적풍험인식，엄격선택수술병례화괄응증，술중주도규범화정세조작，가최대한도지예방화감소LC술병발증적발생。
Objective To investigate the prevention and treatment of operative complication in laparoscopic cholecystectomy ( LC) in primary hospital .Methods The clinical data of 65 cases received LC were analyzed retro-spectively.Results Operation was successfully performed in 64 cases(98.5%) and one case was converted to lapa-rotomy(1.5%);3 patients suffered from complications (4.6%), which were corroborated that one patient was the bile duct injury(1.5%), another was the intraoperative and postoperative hemorrhage (1.5%) and the other was the intestinal tract injury ( 1.5%) .These 3 patients all recovered after laparoscopic repair operation .Conclusion Strengthening the thought on laparoscopic operation risk awareness , strictly controlling operation indications and choo-sing cases, ensuring intraoperative standard and fine operation can maximally reduce or even prevent the incidence of complications of LC .