【Abstract】Objective To study the clinical application of laparoscopic operation. Methods The clinical findings from 13 840 cases of laparoscopic surgery in this hospital from 1992 to 2005 were reviewed retrospectively.Results Laparoscopic operation were performed successfully in 13 653（98.6%）,187 cases were transferred to open operation. Complications were occurred in 115 cases, including common bile duct injury in 3 cases. Combined treatment with laparoscope and endoscope were performed in 162 cases. Eleven thousand three hundred and fiftytwo patients had been succeeded in followup survey. Over 90.0 percent of patients recovered smoothly. Conclusion Laparoscopic operation may be applied in a more extensive scope. The major complications can be reduced by strict procedures of laparoscopic operation. The combined treatment of laparoscope and endoscope should be further studied and widely used.
Citation：
LI Qian de,YANG Pei,WANG Dong,LUO Hua,WANG Ning,ZHAO Ping wu,SUN Xin yi.. Clinical Analysis of 13 840 Cases Undergoing Laparoscopic Operation. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2005, 12(6): 554-557. doi:
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余向群. 腹腔镜外科的发展及现状 [Ｊ]. 中国微创外科杂志, 2003； 3(1) 872 黄志强. 腹腔镜外科时代的胆道操作问题 [Ｊ]. 肝胆外科杂志, 1998； 6(2)653 Strasberg SM. Avoidance of biliary injury during laparoscopic cholecystectomy [Ｊ]. J Hepatobiliary Pancreat Surg， 2002; 9(5)5434 刘国礼. 腹腔镜胆囊切除术并发症的面面观 [Ｊ]. 肝胆胰外科杂志, 1997； 9（2）975 漆家高,郭道宁,刘强,等. 超声在腹腔镜胆囊切除术后腹部并发症中的应用 [Ｊ]. 中国超声医学杂志, 2004； 20(11)8376 何显力,马庆久,鲁建国,等. LC致胆道损伤的外科治疗 [Ｊ]. 肝胆外科杂志, 2003； 11(5)3337 Wu WX, Sun YM, Hua YB, et al. Laparoscopic versus conventional open resection of rectal carcinoma: A clinical comparative study [Ｊ]. World J Gastroenterol, 2004; 10(8)11678 Leroy J, Jamali F, Forbes L, et al. Laparoscopic total mesorectal excision (TME) for rectal cancer surgery: longterm outcomes [Ｊ]. Surg Endosc, 2004; 18(2)2819 Pikarsky AJ, Rosenthal R, Weiss EG, et al. Laparoscopic total mesorectal excision [Ｊ]. Surg Endosc, 2002; 16(4)55810 秦明放. 内镜腹腔镜联合治疗的新思维 [Ｊ]. 中华消化内镜杂志, 2003； 20(5)293.
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余向群. 腹腔镜外科的发展及现状 [Ｊ]. 中国微创外科杂志, 2003； 3(1) 872 黄志强. 腹腔镜外科时代的胆道操作问题 [Ｊ]. 肝胆外科杂志, 1998； 6(2)653 Strasberg SM. Avoidance of biliary injury during laparoscopic cholecystectomy [Ｊ]. J Hepatobiliary Pancreat Surg， 2002; 9(5)5434 刘国礼. 腹腔镜胆囊切除术并发症的面面观 [Ｊ]. 肝胆胰外科杂志, 1997； 9（2）975 漆家高,郭道宁,刘强,等. 超声在腹腔镜胆囊切除术后腹部并发症中的应用 [Ｊ]. 中国超声医学杂志, 2004； 20(11)8376 何显力,马庆久,鲁建国,等. LC致胆道损伤的外科治疗 [Ｊ]. 肝胆外科杂志, 2003； 11(5)3337 Wu WX, Sun YM, Hua YB, et al. Laparoscopic versus conventional open resection of rectal carcinoma: A clinical comparative study [Ｊ]. World J Gastroenterol, 2004; 10(8)11678 Leroy J, Jamali F, Forbes L, et al. Laparoscopic total mesorectal excision (TME) for rectal cancer surgery: longterm outcomes [Ｊ]. Surg Endosc, 2004; 18(2)2819 Pikarsky AJ, Rosenthal R, Weiss EG, et al. Laparoscopic total mesorectal excision [Ｊ]. Surg Endosc, 2002; 16(4)55810 秦明放. 内镜腹腔镜联合治疗的新思维 [Ｊ]. 中华消化内镜杂志, 2003； 20(5)293.
