| 上腹部手术史患者行三孔法腹腔镜胆囊切除术的临床分析 |
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| 引用本文： | 李坚,辜天慧,袁伟,李全,张志勇,彭煜,谢见平.上腹部手术史患者行三孔法腹腔镜胆囊切除术的临床分析[J].重庆医学,2011,40(35):3592-3593. |
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| 作者姓名： | 李坚 辜天慧 袁伟 李全 张志勇 彭煜 谢见平 |
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| 作者单位： | 四川省巴中市中心医院普通外科,636000 |
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| 摘 要： | 目的探讨上腹部手术史患者行三孔法腹腔镜胆囊切除术(LC)的可行性和特点。方法回顾性分析该院97例上腹部手术史后腹腔粘连患者行三孔法LC的临床资料。结果 97例患者中,三孔法及四孔法LC分别成功完成93例及2例,LC成功率为97.9%,中转开腹手术2例。手术时间28～129min,平均45min,术中平均出血20mL。结论上腹部手术史后腹腔粘连患者行三孔法LC是安全、可行的,三孔法可以作为常规方式选择。
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| 关 键 词： | 胆囊切除术 腹腔镜 粘连 再手术 |
Clinical analysis of three-trocar laparoscopic cholecystectomy for patients with history of upper abdominal operation |
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| Li Jian,Gu Tianhui,Yuan Wei,Li Qian,Zhang Zhiyong,Peng Yu,Xie Jianping.Clinical analysis of three-trocar laparoscopic cholecystectomy for patients with history of upper abdominal operation[J].Chongqing Medical Journal,2011,40(35):3592-3593. |
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| Authors: | Li Jian Gu Tianhui Yuan Wei Li Qian Zhang Zhiyong Peng Yu Xie Jianping |
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| Institution: | (Department of General Surgery,Bazhong Central Hospital,Bazhong,Sichuan 636000,China) |
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| Abstract: | Objective To discuss the feasibility and characteristics of three-trocar laparoscopic cholecystectomy(LC) for patients with history of upper abdominal operation.Methods The clinical data of 97 patients with celiac adhesion after upper abdominal operation who accepted three-trocar LC were retrospectively analyzed.Results Among 97 cases of LC,three-trocar and four-trocars LC were successfully performed in 93 and 2 patients,respectively,with the LC success rate of 97.9%,2 patients shifted from laparoscopic to open cholecystectomy.The operation time was 28-129 min with the mean time of 45 min and the mean intraoperative bleeding of 20 mL.Conclusion Three-trocar LC is safe and feasible for patients with celiac adhesion after upper abdominal operation,which can be selected as a conventional method. |
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| Keywords: | cholecystectomy laparoscopic adhesions reoperation |
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