Minilaparotomy cholecystectomy:prevention of complications in 10 200 cases
- VernacularTitle:小切口胆囊切除术10200例的并发症及预防
- Author:
Guangquan ZHANG
;
Ronghua XU
;
Zhong LIAO
;
Xianlin WU
;
Taixu CHENG
;
Fang HE
;
Gouqin LIAO
- Publication Type:Journal Article
- Keywords:
Cholecystectomy/adv eff;
Postoperative Comlications/prev;
Retrospective Studies
- From:
Chinese Journal of General Surgery
1993;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the causes of and prophylactic measure for complications of minilaparotomy cholecystectomy (MC).Methods The clinical data of 10 200 patients receiving MC from Apri1 1991 to March 2006 were analyzed.Results MC was successful in 9 835 cases(96.4%), and in 365 cases(3.6%) the incision was lengthened. Serious complications were 12 cases(0.12%)of bi1e duct injury, 4 cases(0.04%)of colon injury, 8 cases(0.08%)of massive haemorrhage, and 25 cases (0.25%)of bile leakage. Four 4 cases(0.04%) died. Conclusions The key to prevention of complications is a strict selection of MC indications,careful identification of the anatomical structures of Calot's triangle,use of suture ligation of the mesentery of gallbladder triangle and the technique of deep knot-tying and the timely use of extension of the incision.
