| 腹腔镜胆囊切除术中粗大胆囊管的处理 |
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| 引用本文： | 宿砚明,张宗明,钟华,蒋艺,郭金星. 腹腔镜胆囊切除术中粗大胆囊管的处理[J]. 世界华人消化杂志, 2007, 15(20): 2260-2262 |
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| 作者姓名： | 宿砚明 张宗明 钟华 蒋艺 郭金星 |
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| 作者单位： | 清华大学第一附属医院消化医学中心普外科,北京市,100016;清华大学第一附属医院消化医学中心普外科,北京市,100016;清华大学第一附属医院消化医学中心普外科,北京市,100016;清华大学第一附属医院消化医学中心普外科,北京市,100016;清华大学第一附属医院消化医学中心普外科,北京市,100016 |
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| 摘 要： | 目的:探讨腹腔镜胆囊切除术(LC)中粗大胆囊管的处理方法.方法:1995-10/2004-12施行LC 640例,发现胆囊管明显增粗46例,其中胆囊管直径为0.4-0.6 cm.0.6-0.8 cm,0.8 cm以上的例数分别为21,14和11例.分别采用阶梯施夹法(12例)、大号钛夹法(5例)、圈套器法(1例)、结扎后再施夹法(22例)和结扎法(6例)处理增粗的胆囊管.结果:全组46例患者手术顺利,术后无胆漏及其他并发症发生.结论:在LC中,可选用阶梯施夹法、大号钛夹法、圈套器法、结扎后再施夹法和结扎法等牢固处理增粗的胆囊管.如果结扎技术熟练,结扎法可适用于各种情况,可做为首选.
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| 关 键 词： | 腹腔镜胆囊切除术 胆囊管 结扎法 |
| 收稿时间： | 2007-04-24 |
| 修稿时间： | 2007-04-24 |
Management of an enlarged cystic duct in laparoscopic cholecystectomy |
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| Yan-Ming Su,Zong-Ming Zhang,Hua Zhong,Yi Jiang,Jin-Xing Guo. Management of an enlarged cystic duct in laparoscopic cholecystectomy[J]. World Chinese Journal of Digestology, 2007, 15(20): 2260-2262 |
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| Authors: | Yan-Ming Su Zong-Ming Zhang Hua Zhong Yi Jiang Jin-Xing Guo |
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| Abstract: | AIM:To investigate the management of an enlarged cystic duct in laparoscopic cholecys- tectomy. METHODS:From November 1995 to December 2004,46 patients with enlarged cystic ducts un- derwent laparoscopic cholecystectomy in our hospital.The diameters of the cystic ducts were 0.4-0.6 cm in 21 cases,0.6-0.8 cm in 14,and>0.8 cm in 11.Five treatment methods were under- taken:overlapped clipping(n=12),large-sized titanium clipping(n=5),endoloop(n=1),clap- ping after ligation(n=22),and ligation(n=6). RESULTS:All patients were discharged from hospital without complications. CONCLUSION:Suitable methods need to be implemented to manage enlarged cystic ducts in laparoscopic cholecystectomy.A ligation method may be the first choice if the operator is skilled in ligation technology. |
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| Keywords: | Laparoscopic cholecystectomy Cystic duct Ligation method |
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