腹腔镜胆囊切除术胆漏的防治
胆囊切除术,腹腔镜；胆漏；并发症,,胆囊切除术，腹腔镜；胆漏；并发症,1临床资料,2结果,3讨论,参考文献：
【摘要】 目的：探讨预防腹腔镜胆囊切除术(laparoscopic cholecystectomy，LC)胆漏的有效措施。方法：回顾分析我院2000年1月至2006年1月512例LC中8例胆漏患者的临床资料。结果：8例患者全部治愈，2例经过非手术治愈，占25%，2例行再次腹腔镜探查，占25%，4例开腹探查手术，占50%。结论：严格掌握LC手术适应证，良好显露Calot三角，靠胆囊钝性分开Calot三角，认准胆囊壶腹与胆囊管交汇部并游离出其延伸段是确认胆囊管的可行方法，适时把握中转开腹手术时机是预防胆漏等并发症的关键。【关键词】 胆囊切除术，腹腔镜；胆漏；并发症
The prevention of bile leakage during laparoscopic cholecystectomy
LIU Tianxue,XU Changqing,ZHANG Guiru,et al.
Department of General Surgery,the People's Hospital of Penglai,Penglai 265600,China
【Abstract】 Objective:To explore the preventive measures of bile leakage during laparoscopic cholecystectomy(LC).Methods:The data of 8 cases with bile leakage out of 512 patients underwent LC in our hospital from January 2000 to January 2006 were retrospectively analyzed.Results:All the 8 patients were cured.Two(25%) cases were cured without operation.Two(25%) cases underwent laparoscopic exploration again.Four(50%) cases had laparotomy.Conclusions:The indication of LC must be strictly grasped.It is an effective measure for affirmation of cystic duct to properly expose the Calot's triangle and carefully dissect the junction of cystic ampulla and cystic duct.It play a key role for prevention of bile leakage to grasp proper occasion for conversion. ......
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