目的:总结腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)术后防治并发症的措施.方法:回顾分析2006年3月至2010年12月为1034例患者施行LC的临床资料,总结LC术后减少并发症的经验.结果:49例(4.7％)中转开腹,7例发生胆漏,2例腹腔出血,4例胆绞痛,1例胆总管横断,3例腹腔脓肿,1例结石残留,24例切口感染,1例肠漏.结论:严格掌握手术适应证,术中规范操作,及时中转开腹,可减少术后并发症的发生.%Objective; To summarize the complications occurred after laparoscopic cholecystectomy ( LC). Methods: The clinical data of 1 034 patients who underwent LC from Mar. 2006 to Dec. 2010 was analyzed retrospectively. Results :1 034 cases of LC were performed with 49 cases of conversion to open surgery ,7 cases of bile leakage,2 cases of intraperitoneal hemorrhage,4 cases of biliary colic, 1 case of common bile duct transaction,3 cases of abdominal abscess, 1 case of residual calculi,24 cases of incision infection and 1 case of intestinal fistula. Conclusions: The incidence of postoperative complications can be reduced by strict surgical indication, standard operations and timely conversion to open surgery.
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