CAJ | 학술논문

目的：探讨胆囊切除术并发症的发生原因及其预防对策。方法：2003年12月-2013年12月收治胆囊切除术患者1542例，其中开腹胆囊切除手术(OC)患者861例，腹腔镜胆囊切除手术(LC)患者681例。结果：其中胆管损伤1例，十二指肠损伤1例，切口脂肪液化3例，切口感染3例，空肠损伤1例，胆囊管残留结石1例，胆总管残留结石1例，胆漏1例，出血2例，LC中转开腹手术5例，余手术进展顺利。结论：术前对患者的病情评估、合理选择病例、恰当掌握好手术时机、谨慎规范的手术操作、果断及时地中转开腹可有效地防止和减少胆囊切除术并发症的发生率，尤其是在防范腹腔镜胆囊切除术后所致的严重并发症非常重要。
목적：탐토담낭절제술병발증적발생원인급기예방대책。방법：2003년12월-2013년12월수치담낭절제술환자1542례，기중개복담낭절제수술(OC)환자861례，복강경담낭절제수술(LC)환자681례。결과：기중담관손상1례，십이지장손상1례，절구지방액화3례，절구감염3례，공장손상1례，담낭관잔류결석1례，담총관잔류결석1례，담루1례，출혈2례，LC중전개복수술5례，여수술진전순리。결론：술전대환자적병정평고、합리선택병례、흡당장악호수술시궤、근신규범적수술조작、과단급시지중전개복가유효지방지화감소담낭절제술병발증적발생솔，우기시재방범복강경담낭절제술후소치적엄중병발증비상중요。
Objective:To explore the causes and the preventive measures of complications of cholecystectomy(LC and OC). Methods:1542 cases with cholecystectomy were selected from December 2003 to December 2013.861 cases were cholecystectomy operation.681 cases were laparoscopic cholecystectomy operation.Results:Among them,1 case had bile duct injury.1 case had duodenal injury.3 cases had incision fat liquefaction.3 cases had incision infection.1 case had cystic duct jejunum injury.1 case had residual common bile duct calculi.1 case had residual stones.1 case had bile leakage.2 cases had hemorrhage.5 cases were converted to open operation in LC.The rest of the operation was smooth.Conclusion:Before operation,the evaluation of patients condition,proper selection of cases,appropriate master operation time,cautious operation specification,decisive and timely conversion to open surgery can effectively prevent and reduce the incidence of complications of cholecystectomy,especially in the prevention of severe complications of laparoscopic cholecystectomy.