腹腔镜胆囊切除术的非胆道并发症:单中心经验

Q4 Medicine
Rachhpal Singh
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引用次数: 0

摘要

目的:胆管损伤是腹腔镜胆囊切除术的重要并发症。腹腔镜胆囊切除术后的非胆道损伤可能是致命的,也是相当高发病率的来源。在这项研究中,我们打算强调腹腔镜胆囊切除术中持续的非胆道并发症及其结果的重要性。材料和方法:本研究是对2010年6月至2018年12月在我单位管理的腹腔镜胆囊切除术后非胆道并发症患者进行分析。纳入标准-非胆道并发症。排除标准:胆管损伤、手术部位感染、套管针部位疝。结果:9例非胆道并发症均得到控制。患者平均年龄51.1岁(38-65岁)。有五男四女。非胆道损伤分为通路相关并发症和手术相关并发症。3例(2例结肠,1例下腔静脉)与通路有关。6例(5例十二指肠,1例回肠)与手术有关。结论:非胆道损伤严重程度显著。充分注意气腹的形成和细致的解剖有助于预防并发症的发生。及时发现和早期治疗干预有助于降低发病率和死亡率。纳入标准-标准-案例
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nonbiliary Complications of Laparoscopic Cholecystectomy: A Single-center Experience
Aim: Bile duct injury is an important complication of laparoscopic cholecystectomy. Nonbiliary injuries after laparoscopic cholecystectomy can be fatal and source of considerable morbidity. In this study we intend to highlight the importance of nonbiliary complications sustained during laparoscopic cholecystectomy and their outcome. Materials and methods: The study is analysis of patients managed in our unit with post-laparoscopic cholecystectomy nonbiliary complications from June 2010 to December 2018. Inclusion criteria—nonbiliary complications. Exclusion criteria—cases of bile duct injury, cases of surgical site infection, trocar-site hernia. Results: A total of nine patients with nonbiliary complications were managed. Mean age of the patients was 51.1 years (range 38–65). There were five males and four females. Nonbiliary injuries were categorized into access-related and procedure-related complications. Three cases (two colonics, one inferior vena cava) were access related. Six cases (five duodenal, one ileal) were procedure related. Conclusion: Nonbiliary injuries are of significant severity. Adequate attention in creating pneumoperitoneum and meticulous dissection helps in preventing complication. Timely detection and early therapeutic intervention can help reduce morbidity and mortality. Inclusion criteria— criteria—cases
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