腹腔镜多脏器联合手术的临床应用

摘要

Objective:The aim of this study is to evaluate the advantage,the feasibility and the indication of clinical application of laparoscopic multi-organ surgery. Methods:The clinical data of 186 cases of laparoscopic multi-organ surgery performed from Aug.1998 to Sep. 2010 were retrospectively analyzed. Results:One case developed right hepatic duct stenosis. One case of biliary leakage after hepatic hydatid operation was inadequately drained. One patient was abandoned gynecologic operation for heart and lung disease and intolerance of Trendelenburg position. The other 163 cases were successfully completed. Mean postoperative hospital stay was similar to that of patients who underwent laparoscopic single organ surgery. Conclusions:The laparoscopic multi-organ surgery is feasible, effective and has obvious advantages.%目的:探讨腹腔镜多脏器联合手术临床应用的优越性、可行性及适应证.方法:回顾分析1998年8月至2010年9月为186例患者施行腹腔镜联合手术的临床资料.结果:186例腹腔镜联合手术中,1例右肝管狭窄;1例肝包虫术后胆漏引流不畅,1例因心肺疾患不能耐受头低足高体位而终止妇科手术;余均顺利完成手术并痊愈出院.术后平均住院时间与单器官腹腔镜手术相近.结论:腹腔镜多脏器联合手术有效、可行,有明显的优越性.