摘要
Abstract
Objective:To investigate the causes,diagnostic methods,operation modes and prognosis of reoperation caused by various complications after laparoscopic cholecystectomy (LC).Methods:A retrospective analysis was made on the clinical data of the 30 reoperation patients after LC in 5 660 patients from Jun.1994 to Dec.2011.Results:In 30 cases of reoperation patients,extrahepatic biliary tract injury was found in 5 cases,biliary fistula was found in 15 cases,abdominal hemorrhage occurred in 6 patients,visceral injury occurred in 2 cases,and biliary colic occurred in 2 cases.All cases were discharged after the second operation through either open or laparoscopic surgery.No death occurred.During the postoperative follow-up of 3 to 10 years,no complications were found.Conclusions:It may reduce the rate of complications and reoperation after LC by proficient mastering the anatomic relationship between the biliary system,strict grasping the operation indications,meticulous conducting anatomical separation during operation,and having scientific judgment to active prevention.关键词
胆囊切除术,腹腔镜/再手术/预防措施/病例报告Key words
Cholecystectomy,laparoscopic/Reoperation/Prevention/Case reports分类
医药卫生
