From December 1995 to December 1997, 1 500 patients with gallstones or together with biliary duct stones accepted laparoscopic cholesystectomy (LC) or LC+laparoscopic common bile duct exploration (LCDE). There were 9 had serious complications (0.6%) occured . While the mean age was 54.9 years old. The sex ratio (female∶male) was 1∶1.25. Three cases had major biliary duct disruption, 1 case had stomach perforation, 2 cases had duodenal injuries, 1 bleeding case because cystic artery fail to clip, 1 case had postoperative cystic duct leak, and 1 case with T-tube dislodgement. All complications had been discovered during or shortly after operations. The injuries on the extrahepatic biliary duct with lengths of 0.2-0.4cm, and the gastrodenal injuries sized 0.5-1.0cm. All of the injuries had been sutured laparoscopically without sequela. The one who had postoperative cystic duct leak and jaundice accepted LCDE, proved to have a common bile duct stone. The bleeding cystic artery had been clipped well, and the dislodged T-tube replaced well. The results show if the complications which may be very serious or complex had been discovered shortly after or during the operations, its can be managed with laparoscopic technique safely by experienced operators.
Citation：
Yin Sineng,Li Qingliang,Zhang Shicheng,et al.. LAPAROSCOPIC MANAGEMENT OF 9 SERIOUS COMPLICATIONS DURING 1 500 CASES OF LAPAROSCOPIC BILIARY OPERATIONS. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 1999, 6(3): 168-169. doi:
Copy
Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
| 1. |
石景森， 刘国礼， 王作仁等. 第七届全国胆道外科学术会议纪要. 中华外科杂志， 1997； 35(11)∶667.
|
| 2. |
黄晓强， 冯玉泉， 黄志强. 腹腔镜胆囊切除手术并发症. 中华外科杂志， 1997； 35(11)∶654.
|
| 3. |
陈训如. 中转开腹手术在腹腔镜术中的地位. 见：陈训如主编. 腹腔镜手术的并发症与对策. 第1版. 昆明： 云南科技出版社出版， 1997∶30～38.
|
| 4. |
梁东， 刘武， 付振超等. 腹腔镜胆囊切除术致严重并发症13例教训分析. 腹部外科， 1997 ； 10(2)∶93.
|
| 5. |
王道荣， 周亦兵， 赵屹等. 腹腔镜胆囊切除术100例与开腹胆囊切除术200例对比分析. 中华消化内镜杂志， 1997； 14(4)∶259.
|
| 6. |
朱炳光， 李增运， 段留新. 腹腔镜胆囊切除术严重并发症14例分析. 中华消化内镜杂志， 1997； 14(2)∶120.
|
| 7. |
Lepsien G. Treatment of iatrogenic common bile duct injury during laparoscopic cholecystectomy through the laparoscopic insertion of a Ttube. Surg Endose, 1991; 5(3)∶119.
|
| 8. |
龚建平， 周永碧， 王曙光等. 腹腔镜胆囊切除术1 450例分析. 第三军医大学学报， 1997； 19(4)∶363.
|
| 9. |
Lillemoe. 腹腔镜胆囊切除术时大胆管损伤. 国外医学外科分册， 1997； 24(6)∶363.
|
| 10. |
Deziel DJ, Milikan KW, Economon SG, et al. Complications of laparoscopic cholecystectomy: a national survey of 4 292 hospital and analysis of 77604 cases. Am J Surg, 1993; 165(1)∶9.
|
| 11. |
张诗诚. 腹腔镜胆总管探查术的并发症. 见： 陈训如主编. 腹腔镜手术的并发症对对策. 第1版. 昆明： 云南科技出版社出版， 1997∶166～168.
|
- 1. 石景森， 刘国礼， 王作仁等. 第七届全国胆道外科学术会议纪要. 中华外科杂志， 1997； 35(11)∶667.
- 2. 黄晓强， 冯玉泉， 黄志强. 腹腔镜胆囊切除手术并发症. 中华外科杂志， 1997； 35(11)∶654.
- 3. 陈训如. 中转开腹手术在腹腔镜术中的地位. 见：陈训如主编. 腹腔镜手术的并发症与对策. 第1版. 昆明： 云南科技出版社出版， 1997∶30～38.
- 4. 梁东， 刘武， 付振超等. 腹腔镜胆囊切除术致严重并发症13例教训分析. 腹部外科， 1997 ； 10(2)∶93.
- 5. 王道荣， 周亦兵， 赵屹等. 腹腔镜胆囊切除术100例与开腹胆囊切除术200例对比分析. 中华消化内镜杂志， 1997； 14(4)∶259.
- 6. 朱炳光， 李增运， 段留新. 腹腔镜胆囊切除术严重并发症14例分析. 中华消化内镜杂志， 1997； 14(2)∶120.
- 7. Lepsien G. Treatment of iatrogenic common bile duct injury during laparoscopic cholecystectomy through the laparoscopic insertion of a Ttube. Surg Endose, 1991; 5(3)∶119.
- 8. 龚建平， 周永碧， 王曙光等. 腹腔镜胆囊切除术1 450例分析. 第三军医大学学报， 1997； 19(4)∶363.
- 9. Lillemoe. 腹腔镜胆囊切除术时大胆管损伤. 国外医学外科分册， 1997； 24(6)∶363.
- 10. Deziel DJ, Milikan KW, Economon SG, et al. Complications of laparoscopic cholecystectomy: a national survey of 4 292 hospital and analysis of 77604 cases. Am J Surg, 1993; 165(1)∶9.
- 11. 张诗诚. 腹腔镜胆总管探查术的并发症. 见： 陈训如主编. 腹腔镜手术的并发症对对策. 第1版. 昆明： 云南科技出版社出版， 1997∶166～168.
