Analysis of the causes and treatment of abdominal pain in the early postoperative period after laparoscopic cholecystectomy
- VernacularTitle:LC术后近期腹痛的原因分析及处理
- Author:
Hongwu DENG
;
Dongweng WANG
;
Weiwei FANG
;
Zhihua LIU
- Publication Type:Journal Article
- Keywords:
CHOLOCYSTECTOMY,LAPAROSCOPY/adv eff;
ABDOMINAL PAIN/etiol
- From:
Chinese Journal of General Surgery
2000;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the causes of abdominal pain in the early postoperative period after laparoscopic cholecystectomy(LC), so as to employ preventative measures. Methods The clinical data of 35 patients with early postoperative abdomial pain after LC were analyzed retrospectively and the literature was reviewed . Nine cases underwent reoperation, and conservative treatment was successfully performed in the other 26 cases. Results Traumatic factors were involved in 8 cases, including 6 cases of postoperative biliary fistula , and 2 cases with calculus retained in the trocar hole of the abdominal wall. 27 cases had no traumatic factor and included 2 cases of ascariasis of common bile duct, 5 cases with calculus of common bile duct, 1 case of acute pancreatitis, 17 cases of bile duct dysfunction, 1 case of duodenal ulcer and 1 case of stomach cancer. All were cured. Conclusions The key to decrease complications after LC is a complete examination before LC and pay attention to each aspect of perioperative management.
