困难性胆囊切除术后并发症27例分析
Analysis of 27 cases of complications after difficult cholecystectomy
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摘要: 目的:探讨困难性胆囊切除术后胆管损伤及术后残余胆囊的原因及防范措施。方法:回顾性分析564例困难性胆囊切除术后有胆管损伤及术后残余胆囊的27例患者临床资料。结果:胆管损伤15例(2.66%),治愈13例,好转1例,病死1例。残余胆囊12例(2.13%),4例术后治愈;2例结石复发,拒绝手术;6例无结石者未手术,好转出院。结论:困难性胆囊切除术后胆管损伤及术后残余胆囊的发生率较高,正确的手术时机及细致的手术操作应能避免严重的手术并发症。Abstract: Objective:To investigate the cause and treatment of bile duct injury and residual gallbladder after difficult cholecystectomy.Methods:The clinical data of 564 cases with bile duct injury and residual gallbladder after difficult cholecystectomy were retrospectively analysed.Results:The cases after difficult cholecystectomy included 15 bile duct injury cases(2.66%).Thirteen cases were cured,1 case was improved,1 case died.The cases after difficult cholecystectomy included 12 residual gallbladder cases(2.13%).Four cases were cured,2 caes with gallstone recurrence refused surgery,6 cases without gallstone were improved.Conclusions:The occurrence of bile duct injury and residual gallbladder after difficult cholecystectomy are higher than average.The skillful operation and appropriate time can avoid severely operative complications.
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