| 腹腔镜胆囊切除术中胆囊动脉出血的防范和处理 |
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| 引用本文： | 扬锁军,卿德科,苗建国,周建华,阎勇,蔡忠红,田伏洲,陈平萍. 腹腔镜胆囊切除术中胆囊动脉出血的防范和处理[J]. 中华消化外科杂志, 2004, 3(2): 95-96 |
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| 作者姓名： | 扬锁军 卿德科 苗建国 周建华 阎勇 蔡忠红 田伏洲 陈平萍 |
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| 作者单位： | 610083,成都军区总医院普外中心 |
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| 摘 要： | 目的 探讨腹腔镜胆囊切除术 (LC)术中胆囊动脉出血的防范和处理方法。方法 回顾性分析本院近年 50 0 0例LC的临床资料 ,总结LC术中胆囊动脉出血的原因、预防及处理方法。结果 50 0 0例LC中 2 0例发生胆囊动脉出血 ,但均得到有效控制 ,无因此而中转开腹手术者 ,术后无继发出血或肝胆管损伤。结论 熟练的腹腔镜操作技能 ,良好的心理素质 ,注重LC术中胆囊动脉出血的防范和正确处理 ,避免盲目止血 ,是保证手术成功并避免发生肝胆管损伤等其他严重并发症的关键
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| 关 键 词： | 腹腔镜 胆囊 出血 |
| 文章编号： | 1671-4555(2004)02-0095-02 |
| 修稿时间： | 2003-12-03 |
Management and prevention of bleeding of gallbladder artery injury during laparospocopic cholecystectomys |
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| Yang Suojun,Qing D eke,Miao Jianguo,Zhou Jianhua,Yan Yong,Cai Zhonghong,Tian Fuzhou,Chen Pingping . General Surgery. Management and prevention of bleeding of gallbladder artery injury during laparospocopic cholecystectomys[J]. Chinese Journal of Digestive Surgery, 2004, 3(2): 95-96 |
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| Authors: | Yang Suojun Qing D eke Miao Jianguo Zhou Jianhua Yan Yong Cai Zhonghong Tian Fuzhou Chen Pingping . General Surgery |
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| Affiliation: | Yang Suojun,Qing D eke,Miao Jianguo,Zhou Jianhua,Yan Yong,Cai Zhonghong,Tian Fuzhou,Chen Pingping . General Surgery Department of PLA,Chengdu General Army Hospital,Chen gdu 610083 |
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| Abstract: | Objective To explore the management and prevention of bleeding of gallbladder artery during laparoscopic cholecystectomy(LC). Methods The clinical data of 5 000 cases with LC in recent year s were retrospectively reviewed. The management and prevention of bleeding of ga llbladder artery during LC were summarized. Results 20 of 5 000 cases with bleeding resulted from gallbladder artery injury during LC was stopp ed in time. No bleeding cases were transferred to open surgery. There was no ble eding or hepatobiliary injury after operation. Conclusions Prof icient laparoscopic technology and the management and prevention of bleeding of the gallbladder artery injury are the key points to the success of LC. |
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| Keywords: | laparoscopy gallbladder bleeding |
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