阑尾周围脓肿39例治疗体会

目的探讨阑尾周围脓肿的治疗方法。方法对近10年来采用中西医结合治疗和手术治疗的39例阑尾周围脓肿临床资料进行回顾总结。结果39例全部痊愈,其中33例行Ⅰ期或Ⅱ期阑尾切除术,术后无严重并发症发生。结论阑尾周围脓肿的治疗应重视中药的应用,首先考虑中西医结合治疗。Ⅰ期阑尾切除能缩短疗程,但手术方式应根据局部情况灵活掌握。     

精细解剖-分离技术预防腹腔镜胆囊切除术中胆管损伤9500例体会

腹腔镜胆囊切除术（LC）最严重的并发症为胆管损伤,一旦发生,后果严重,处理困难.因此,LC手术时的胆管损伤重在预防.1993年11月至2009年9月笔者所在4家医院采用精细解剖-分离技术行LC 9500例,未发生胆管损伤及死亡病例,报道如下.     

疝环填充式无张力疝修补术的疗效观察

资料与方法2005年3月～2009年7月收治腹股沟斜疝、直疝手术患者21例,年龄25～65岁,平均46岁;病程10天-30年,平均3．4年。斜疝16例,直疝5例,合并前列腺增生症3例,高血压、动脉粥样硬化症5例,糖尿病3例,复发性疝3例。     

"推拉牵引-放松归位-反复确认"技术在预防腹腔镜胆囊切除术中胆道损伤的临床价值

目的 探讨"推拉牵引-放松归位-反复确认"技术在腹腔镜胆囊切除术(1aparoscopic cholecystectomy,LC)中预防胆道损伤的临床价值.方法 2001年3月至2009年8月,笔者应用此项技术完成LC 4800例.每例患者均采用"推拉牵引"显露三角区的结构,"放松归位"恢复胆囊管、肝总管和胆总管的生理位置,"反复确认"多次明确胆囊管、肝总管和胆总管的关系后再离断胆囊管.结果 全组患者无胆道损伤发生;118例分别因胆囊Calot三角结构识别困难、胆管结石、胆囊癌和胆囊一十二指肠内瘘转开腹手术.结论 "推拉牵引-放松归位-反复确认"技术能有效的预防LC术中胆管损伤,方法简单,容易掌握,值得推广.

Abstract：

Objective To study the value of the technique of "Push-pull traction-relax homingrepeatedly confirmed" in the prevention of bile duct injury in LC. Methods From March 2001-August 2009, we applied this technique in 4800 cases of LC. The technique of "Push-pull traction" showed the structures of in the Calot's triangle. The technique of "relax homing" was to restore the cystic duct,hepatic duct and common bile duct to their original anatomical positions. The technique of "repeatedly confirmed" repeatedly identified the positions of the cystic duct, the common hepatic duct and the common bile duct. Results There was no bile duct injury. Conversion to open surgery happened in 118patients due to difficulties in identifying the Calot's triangle structures, bile duct stones, gallbladder cancer, and gallbladder-duodenal fistula. Conclusions The "Push-pull traction-relax homing-repeatedly confirmed" technique could effectively prevent bile duct injury in LC. The method is simple, easy to master and worthy of promotion.