| 腹腔镜下胆囊三角区胆囊动脉胆囊管解剖观察及临床意义 |
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| 引用本文： | 高俊,陈惠根.腹腔镜下胆囊三角区胆囊动脉胆囊管解剖观察及临床意义[J].实用临床医学(江西),2005,6(5):67-68. |
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| 作者姓名： | 高俊 陈惠根 |
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| 作者单位： | 南昌中西医结合医院微创外科 江西南昌330006
(高俊)，南昌中西医结合医院微创外科 江西南昌330006(陈惠根) |
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| 摘 要： | 目的：了解胆囊三角区有关胆囊动脉、胆囊管的解剖，为LC手术安全入路提供形态学依据。方法：全部1138例LC患者．记录胆囊动脉，胆囊管的行径。结果：胆囊动脉在Calot三角区内：982例。Calot三角区外：67例。胆囊无法暴露，不能判断：77例。胆囊管细长平行胆总管：38例。胆囊管直角汇入胆总管：23例。胆囊管短粗几近胆总管：36例。胆囊三角区炎症无法暴露：89例。结论：胆囊三角区祥实的胆囊动脉、胆囊管的解剖特点．为LC手术入路提供了依据，提示后三角入路手术的可行性。
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| 关 键 词： | 腹腔镜 胆囊切除术 胆囊动脉 胆囊管 |
| 文章编号： | 1009-8194(2005)05-0067-02 |
| 修稿时间： | 2005年3月14日 |
Anatomy and Significance of the Cystic Artery Duct Within the Hepatobiliary Triangle with Laparoscope Device |
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| Gao Jun,Chen Hui-gen.Anatomy and Significance of the Cystic Artery Duct Within the Hepatobiliary Triangle with Laparoscope Device[J].Practical Clinical Medicine,2005,6(5):67-68. |
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| Authors: | Gao Jun Chen Hui-gen |
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| Abstract: | Objective:To provide a safe LC approach on a laparoscopic visualization anatomic basis.Methods:The course of the cystic artery and duct was noted in 1138 cases.Results:classifications were divided into seven main groups:1.cystic artery in Calot tviangle(982 cases);2.cystic artery out of Calot triangle(67 cases);3.invisibility of gallbladder(77 cases);4.cystic duct parallel to common duct (38 cases);5.cystic duct ran into common duct with right angle(23 cases);6.thick and short cystic duct nearly close to common duct(36 cases)and 7.invisibility because of inflammation in triangle(89 cases).Conclusion:According to our findings we propose a posterior approach which should be the route chosen in LC. |
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| Keywords: | laparoscopy cholecystectorny cystic artery cystic duct |
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