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:
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Copyright ? the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
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張詩誠. 腹腔鏡膽總管探查術的并發癥. 見： 陳訓如主編. 腹腔鏡手術的并發癥對對策. 第1版. 昆明： 云南科技出版社出版， 1997∶166～168.
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- 1. 石景森， 劉國禮， 王作仁等. 第七屆全國膽道外科學術會議紀要. 中華外科雜志， 1997； 35(11)∶667.
- 2. 黃曉強， 馮玉泉， 黃志強. 腹腔鏡膽囊切除手術并發癥. 中華外科雜志， 1997； 35(11)∶654.
- 3. 陳訓如. 中轉開腹手術在腹腔鏡術中的地位. 見：陳訓如主編. 腹腔鏡手術的并發癥與對策. 第1版. 昆明： 云南科技出版社出版， 1997∶30～38.
- 4. 梁東， 劉武， 付振超等. 腹腔鏡膽囊切除術致嚴重并發癥13例教訓分析. 腹部外科， 1997 ； 10(2)∶93.
- 5. 王道榮， 周亦兵， 趙屹等. 腹腔鏡膽囊切除術100例與開腹膽囊切除術200例對比分析. 中華消化內鏡雜志， 1997； 14(4)∶259.
- 6. 朱炳光， 李增運， 段留新. 腹腔鏡膽囊切除術嚴重并發癥14例分析. 中華消化內鏡雜志， 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. 龔建平， 周永碧， 王曙光等. 腹腔鏡膽囊切除術1 450例分析. 第三軍醫大學學報， 1997； 19(4)∶363.
- 9. Lillemoe. 腹腔鏡膽囊切除術時大膽管損傷. 國外醫學外科分冊， 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. 張詩誠. 腹腔鏡膽總管探查術的并發癥. 見： 陳訓如主編. 腹腔鏡手術的并發癥對對策. 第1版. 昆明： 云南科技出版社出版， 1997∶166～168.
