| 急性胆囊炎腹腔镜切除术式选择 |
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| 引用本文： | 樊庆洋,赵强,郭涛,陈亮.急性胆囊炎腹腔镜切除术式选择[J].腹腔镜外科杂志,2005,10(1):53-55. |
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| 作者姓名： | 樊庆洋 赵强 郭涛 陈亮 |
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| 作者单位： | 安徽省淮北矿工总医院,安徽,淮北,235000 |
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| 摘 要： | 目的 :探讨急性胆囊炎行腹腔镜胆囊切除术的安全性。方法 :腹腔镜对急性胆囊炎的治疗分别选择 :胆囊大部分切除、胆囊前壁切除、胆囊完整切除三种术式。结果 :顺利完成腹腔镜胆囊切除 2 32例 ,中转手术 4例。全组无死亡病例 ,无胆道损伤、大出血等严重并发症。结论 :随着腹腔镜胆囊切除术经验积累和器械完善 ,急性化脓、坏死性胆囊炎甚至胆囊穿孔已不再是腹腔镜胆囊切除的禁忌证 ,均可在急性炎症期完成腹腔镜胆囊切除术。
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| 关 键 词： | 胆囊炎 胆囊切除术 腹腔镜 引流 |
| 文章编号： | 1009-6612(2005)01-0053-03 |
| 修稿时间： | 2004年7月7日 |
Laparoscopic cholecystectomy for acute cholecystitis |
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| FAN Qing-yang,Zhao-qiang,Guo-tao,et al.Laparoscopic cholecystectomy for acute cholecystitis[J].Journal of Laparoscopic Surgery,2005,10(1):53-55. |
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| Authors: | FAN Qing-yang Zhao-qiang Guo-tao |
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| Abstract: | Objective:To study the safety of Laparoscopic Cholecystectomy for acute cholecystitis.Methods:We preformed Laparoscopic cholecystectomy for acute Cholecystitis with3methods,including:Subtotal laparoscopic cholecys tectomy,the anterior laparoscopic cholecystectomy and total laparoscopic cholecystectomy.Results:232cases received laparoscopic cholecy-stectomy smoothly.4cases were converted to open surgery.There was no mortality,no bile duct in-jury or no hemorrhea.Conclusions:With more experience of Laparoscopic Choleystectomy and with the improvement of instrumout acute cholecystitis is no longer the contraindication of laparoscopic cholecystectomy.Laparoscopic cholecystec-tomy can be proformed in acute stage of cholecystitis. |
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| Keywords: | Cholecystitis Cholecystectomy laparoscopy Drainage |
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