Huang X, Feng Y, Huang Z
Department of Hepatobiliary Surgery, General Hospital of PLA, Beijing, China.
Chin Med J (Engl). 1997 Sep;110(9):704-6.
To investigate the complications of laparoscopic cholecystectomy in China.
All Chinese articles about laparoscopic cholecystectomy published between April 1994 and November 1995 were identified through CMCC (Chinese Medical Computerized Contents). From more than 600 titles, 105 articles were screened for analysis. Another 21 articles from the 6th Biliary Surgical Congress and 300 cases from the General Hospital of PLA were added. A total of 39,238 cases of laparoscopic cholecystectomy from 91 hospitals were studied.
Severe complications of laparoscopic cholecystectomy were identified in 409 (1.04%) patients, including bile duct injury (in 0.32% of patients), postoperative cystic duct leak (0.11%), postoperative bile leak (0.20%), peritoneal abscess (0.07%), bowel injury (0.06%) and postoperative hemorrhage (0.1%). Fourteen postoperative deaths (0.04%) resulted from operative injury.
The data demonstrate that laparoscopic cholecystectomy is an operation associated with low morbidity and mortality rate, but bile duct injury is still a major problem. Complications of laparoscopic cholecystectomy can be minimized by improving operative procedure.
调查中国腹腔镜胆囊切除术的并发症。
通过中国医学文献数据库（CMCC）检索1994年4月至1995年11月发表的所有关于腹腔镜胆囊切除术的中文文章。从600多篇标题中筛选出105篇文章进行分析。另外补充了第六届胆道外科学术会议的21篇文章以及解放军总医院的300例病例。共研究了来自91家医院的39238例腹腔镜胆囊切除术病例。
409例（1.04%）患者出现腹腔镜胆囊切除术的严重并发症，包括胆管损伤（0.32%的患者）、术后胆囊管渗漏（0.11%）、术后胆漏（0.20%）、腹腔脓肿（0.07%）、肠损伤（0.06%）和术后出血（0.1%）。14例术后死亡（0.04%）由手术损伤导致。
数据表明腹腔镜胆囊切除术是一种发病率和死亡率较低的手术，但胆管损伤仍然是一个主要问题。通过改进手术操作可以将腹腔镜胆囊切除术的并发症降至最低。
