CAJ | 학술논문

目的:探讨腹腔镜胆囊切除术并发症发生的原因、处理及预防方法.方法:对725例腹腔镜胆囊切除术中11例并发症临床资料的回顾性分析.结果:胆管损伤1例,术中出血3例,术后胆漏1例,胃肠道损伤1例,穿刺切口感染1例,皮下气肿3例,残余结石1例.结论:严格掌握手术指征,合理的手术技巧,规范的操作,熟悉胆囊管和血管的解剖及变异,及时果断的中转开腹等,可以有效的减少腹腔镜胆囊切除术并发症的发生.
목적:탐토복강경담낭절제술병발증발생적원인、처리급예방방법.방법:대725례복강경담낭절제술중11례병발증림상자료적회고성분석.결과:담관손상1례,술중출혈3례,술후담루1례,위장도손상1례,천자절구감염1례,피하기종3례,잔여결석1례.결론:엄격장악수술지정,합리적수술기교,규범적조작,숙실담낭관화혈관적해부급변이,급시과단적중전개복등,가이유효적감소복강경담낭절제술병발증적발생.
@@@@Objective:To study the causes, the treatment and the prevention methods of the complications of laparoscopic cholecystectomy. Methods:The clinical data ofcomplications of 11 cases laparoscopic cholecystectomy were analyzed. Results:In 11 cases, bile duct injuring was 1 case; bile leakis 1 case after operation; Bleeding during operation was 3 cases; Gastrointestinal injury 1 case;Infection of incision was 1 case; residual stones 1 case. Conclusion:It must be perform the surgery indications strictly, reasonable operation skill, standard manipulation, familiar with the anatomic variation of cholecystic vessels and biliary ducts and abdominal operation. in time all methods can effectively decrease the complication of laparoscopic cholecystectomy.