吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2015年
10期
1979-1980
,共2页
胆囊切除术%腹腔镜%复杂情况
膽囊切除術%腹腔鏡%複雜情況
담낭절제술%복강경%복잡정황
Cholecystectomy%Laparoscopic%Complex situation
目的：探讨腹腔镜胆囊切除术中复杂情况的原因及处理方法。方法：回顾分析55例腹腔镜胆囊切除术中复杂病例的临床资料。结果：48例顺利完成LC，手术时间70~245 min，平均129 min；失血量2~50 ml，平均12 ml。中转开腹7例。结论：外科医生只要熟悉病理及变异情况下的胆道解剖，具备熟练的腔镜手术技术，LC手术中遇到复杂情况时一般都能正确处理，确保手术安全。
目的：探討腹腔鏡膽囊切除術中複雜情況的原因及處理方法。方法：迴顧分析55例腹腔鏡膽囊切除術中複雜病例的臨床資料。結果：48例順利完成LC，手術時間70~245 min，平均129 min；失血量2~50 ml，平均12 ml。中轉開腹7例。結論：外科醫生隻要熟悉病理及變異情況下的膽道解剖，具備熟練的腔鏡手術技術，LC手術中遇到複雜情況時一般都能正確處理，確保手術安全。
목적：탐토복강경담낭절제술중복잡정황적원인급처리방법。방법：회고분석55례복강경담낭절제술중복잡병례적림상자료。결과：48례순리완성LC，수술시간70~245 min，평균129 min；실혈량2~50 ml，평균12 ml。중전개복7례。결론：외과의생지요숙실병리급변이정황하적담도해부，구비숙련적강경수술기술，LC수술중우도복잡정황시일반도능정학처리，학보수술안전。
Objective To study the cause and treatment of laparoscopic cholecystectomy in complicated condition in operation. Method A retrospective analysis of 55 cases of laparoscopic cholecystectomy in complicated cases of clinical data. Results 48 cases completed LC,opera-tion time was 70~245 minutes,average 129 minutes;blood loss was 2~50 ml,average 12 ml. Conversion to laparotomy in 7 cases. Conclusion The surgeon is familiar with biliary pathology and variation of anatomical,with endoscopic operation skilled,it can usually be handled correct-ly,ensure the operation safety when complex operation in the LC.
