腹腔镜胆囊切除术严重手术并发症的预防
胆囊炎,外科学;胆结石,外科学;胆总管结石,外科学;胆囊切除术，腹腔镜;胆囊切除术后并发症,预防和控制;胆囊造影术,项目负责人,Correspondenceto,Preventionofseriouscomplicationsduringlaparoscopiccholecystectomy,Abstract,AIM
第三军医大学西南医院肝胆外科 重庆市 400038龚建平，男，1961-11-01生，四川省荣县人，汉族. 1983年四川泸州医学院医学系毕业，医学博士，主要从事胆道疾病的基础研究和内镜胆道外科的临床工作，发表论文20篇，获军队科技进步二等奖1项.
项目负责人 龚建平，400038，第三军医大学西南医院肝胆外科，重庆市高滩岩正街20号.
Correspondence to Jian-Ping Gong, Department of Hapatobiliary Surgery, Southwest Hospital, Third Military Medical University,20 Gaotan Yanjie, Chongqing 400038, China
Tel. +86·23·65315630
收稿日期 1997-12-18 接收日期 1998-02-26
Prevention of serious complications during laparoscopic cholecystectomy
Jian-Ping Gong, Yong-Bi Zou and Ben-Li Han
Department of Hapatobiliary Surgery, Southwest Hospital, Third Military Medical University, Chongqing 400038, China
Abstract
AIMTo evaluate the safety and efficacy of laparoscopic cholecystectomy (LC) and analyse the results of 2880 patients undergoing LC and complications.
METHODS LC was performed in 2880 patients with benign sallbladder diseases. Of the patients, 282 were examined with preoperative endoscopic retrograde cholangiopancreatography (ERCP).
RESULTS The conversion to open surgery was needed in 123 (4.3%) patients. Reasons for conversion to open surgery included dense adhension of Calot＇s triangle, anatomic uncertainty, etc. Various complications were found in only 21 (0.72%) patients, including 4 bile leaks, 3 postoperative bleedings from gallbladder bed, 5 subdiphragm abscess, one duodenal perforation and 8 common duct retained stones. All patients with complications were cured, no death and bile duct injury occurred. ......
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