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《Chinese Journal of Misdiagnostics》 2001-01
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The Etiologic Study of Postoperative Hydrops Abdominis Subsequent to the Laparoscopic Chelocystectomy

ZHANG Pei rui,XU Hong bing,ZOU Yi ping,et al (The surgical department,The 302th Hospital of PLA,Beijing 100039)  
Objective:Postoperative hydrops abdominis(HA) is one of most common complication in the patients who underwent the laparoscopic chelocystectomy(LC),Its etiology is still unknown.The aim of this study was to find the causes of HA in the related factors in the perioperation period.Methods:We retrospectively reviewed our 1478 patients who underwent LC from 1990 to 1998,and analysed the average annual morbidity of HA and the relationships between age,sex,operation time,experience of operator,intraoperative bile pollution,intraoperative glutaraldehyde pollution and morbidity of HA subsequent to LC.Results:169 cases of HA were found in this group,the morbidity was 11.4%.The morbidity was unrelated to the patient's age and sex.When operative time was more than 60min,HA morbidity was as high as 23.4%.There was significant different morbidity between first 25 cases and fourth 25 cases in the same 4 operators.The morbidity in the group of bile pollution was significantly higher than in the group of no bile pollution.HA had decreased since 1996,And the removal of glutaraldehyde had led to decrease the morbidity of HA in the fully cleaning period.Conclusion:The causes of HA subsequent to LC was various and complicated,bile and glutaraldehyde pollution may be the important factor.
【CateGory Index】: R657.4
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