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[视频腹腔镜手术在肝和胆道手术后腹腔内并发症诊断与治疗中的应用]

[Videolaparoscopic operations in diagnosis and treatment of intraperitoneal complications after operations on the liver and bile tracts].

作者信息

Daminova N M, Kurbonov K M, Khaetov A

出版信息

Vestn Khir Im I I Grek. 2009;168(1):80-3.

Abstract

The results of videolaparoscopic operations on 62 patients with intraperitoneal complications after operations on the liver and bile tracts were analyzed. Intraperitoneal complications were avoided in 9 cases (14.5%), postoperative bile peritonitis was diagnosed in 38 patients (61.3%), intraperitoneal bleeding was noted in 10 (16.1%) patients, and early adhesive intestinal obstruction in 10 (26.3%) patients. In 51.6% of cases the diagnostic videolaparoscopy was transformed in a curative method. Postoperative lethality was 16.1%. Mean time of stay in hospital was 2 times less and made 7.4 days.

摘要

分析了62例肝和胆道手术后发生腹腔内并发症患者的电视腹腔镜手术结果。9例(14.5%)避免了腹腔内并发症,38例(61.3%)诊断为术后胆汁性腹膜炎,10例(16.1%)出现腹腔内出血,10例(26.3%)出现早期粘连性肠梗阻。51.6%的病例中诊断性电视腹腔镜检查转变为一种治疗方法。术后死亡率为16.1%。平均住院时间减少了一半,为7.4天。

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