急诊腹腔镜胆囊切除术中复杂情况处理的探讨

彭东浩,张鸿鹤,刘珂,等.肺结核合并2型糖尿病的影像学特点及动态表现[J].吉林医学,2014,35(1):30-31.

腹腔镜胆囊切除术；复杂情况；处理

彭东浩，张鸿鹤，刘珂，伍泽华

四川省营山县人民医院普外科，四川营山637700

2014年

30-31.

知网,万方

目的：探究分析进行急诊腹腔镜胆囊切除术过程中出现复杂情况的处理手段。方法：选择行腹腔镜胆囊切除术患者共36例，以回顾性的方法对患者的临床资料进行分析。结果：所有患者平均手术时间为50 min；术中平均出血量为30 ml；患者引流管留置时间在（1~3）d之间，引流量为（30~300）ml，平均引流量为100 ml；所有患者没有出现中转开腹手术以及死亡的情况；1例患者出现术后发热，对症治疗后痊愈。结论：在急诊腹腔镜胆囊切除术过程中有可能会出现较为复杂的情况，这个时候要求术者对于胆道系统解剖要有全面的认识以及熟悉的手术操作技巧，这个是面对此类问题的最好保障。 ObjectiveTo explore and analyze the method for complex situation in the process of operation of emergency laparoscopic cholecystectomy.MethodClinical data of 36 cases of laparoscopic cholecystectomy with difficult operation resection were analyzed retrospectively.ResultsOf all the patients，average operation time was 50 minutes；the mean intraoperative bleeding was 30 ml；indwelling time of patients with drainage tube was in (1-3) days，drainage for (30-300) ml，average flow rate was 100 ml；all patients were without conversion to open operation and death.Postoperative fever occurred in 1 patient；after the symptomatic treatment was healed.ConclusionIn the emergency laparoscopic cholecystectomy may appear more complex situations during the surgery，at this time，surgeons need to have comprehensive understanding to biliary anatomy and be familiar with the operation skills，this is the best guarantee to face such problems.。