基层医院初期开展腹腔镜胆囊切除术４００例无并发症发生的体会

基层医院初期开展腹腔镜胆囊切除术４００例无并发症发生的体会 【摘要】 目的：探讨基层医院初期开展腹腔镜胆囊切除术（LC）预防并发症发生的措施。方法：总结初期开展４００例LC的临床资料。结果：腹腔

基层医院初期开展腹腔镜胆囊切除术４０ ０例无并发症发生的体会 【摘要】 目的：探讨基层医院初期开展腹腔镜胆囊切除术 （LC）预防并发症发生的措施。方法：总结初期开展４００例LC的临 床资料。结果：腹腔镜完成手术３９６例，中转开腹４例，全部顺利 康复，无1例发生明显并发症。结论：基层医院初期开展LC，必须高 度重视，严格人员培训，慎于术前，精于术中，重视胆囊三角解剖， 明辨胆囊管，严防损伤胆管，重视引流，适时中转开腹。 【关键词】 胆囊切除术，腹腔镜；并发症 To understand 400 cases without severe complications in the initinal stage laparoscopic cholecystectomy in the pri__ry hospital 【Abstract】 Ｏ__ective:To investigate the preventable measures of complications in laparoscopic cholecystectomy(LC) in pri__ry hospitals which carry out LC in the initial stage.Methods:the clinical data of 400 cases treated by LC from the beginning to now were reviewed retrospectively.Results:LC was suc__ssfully accomplished in 396 cases and the conversion to open surgery was