有上腹部手术史患者行腹腔镜胆道手术探讨

Laparoscopic biliary tract surgeries for patients with upper abdominal laparotomy history

摘要:

目的：探讨既往有上腹部手术史患者行腹腔镜胆道手术的方法及安全性。方法：回顾分析2008年5月至2012年9月我科为103例有上腹部手术史患者行腹腔镜胆道手术的临床资料。结果：103例中96例成功在腹腔镜下完成手术，7例因黏连严重分离困难而中转开腹手术，术后均恢复良好，无并发症出现。结论：腹腔镜下胆道手术用于既往有上腹部手术史的患者是安全可行的。

Abstract:

Objective：To study the safety and approach of laparoscopic biliary tract surgeries for patients with history of upper abdomi－nal laparotomy. Methods：From May 2008 to September 2012，103 patients with upper abdominal laparotomy history underwent la－paroscopic biliary tract surgeries were retrospectively analyzed. Results：Ninety-six patients out of 103 patients were successfully op－erated under laparoscope，7 patients were converted because of excessive adhesion. No complication occurred in all patients. Con－clusion：Laparoscopic biliary tract surgeries are safe and feasible for patients with history of upper abdominal laparotomy.