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直视微创无痛技术在胆囊切除术中的应用
引用本文:刘激文,李建元,黎家妹,张少峰,邹毅平,吴丽. 直视微创无痛技术在胆囊切除术中的应用[J]. 腹腔镜外科杂志, 2009, 14(1): 21-22
作者姓名:刘激文  李建元  黎家妹  张少峰  邹毅平  吴丽
作者单位:东莞市莞城医院,广东,东莞,523009;东莞市莞城医院,广东,东莞,523009;东莞市莞城医院,广东,东莞,523009;东莞市莞城医院,广东,东莞,523009;东莞市莞城医院,广东,东莞,523009;东莞市莞城医院,广东,东莞,523009
基金项目:广东省东莞市科研立项项目(2007109750274)
摘    要:目的:探讨减轻胆囊切除术手术创伤和术后疼痛的方法和技巧。方法:应用冷光源拉钩暴露系列器械、分离钩、钛夹、术后镇痛泵和固定手术步骤、技巧,完成胆囊切除术122例。结果:微小切口(2.5~3.5cm)113例,小切口(4~4.5cm)9例,无死亡病例,胆道微损伤1例,平均手术时间短,术后无痛或微痛。结论:直视下微创无痛胆囊切除术具有手术适应证广、患者创伤轻、痛苦小、术后康复快、安全可靠等优点,值得推广。

关 键 词:胆囊切除术  微创  无痛

The clinical application of minimally invasive and painless cholecystectomy under direct vision
LIU Ji-wen,LI Jian-yuan,LI Jia-mei,et al.. The clinical application of minimally invasive and painless cholecystectomy under direct vision[J]. Journal of Laparoscopic Surgery, 2009, 14(1): 21-22
Authors:LIU Ji-wen  LI Jian-yuan  LI Jia-mei  et al.
Affiliation:LIU Ji-wen,LI Jian-yuan,LI Jia-mei,et al.Dept.of General Surgery,Dongguan City Guancheng Hospital,Dongguan 523009,China
Abstract:Objective:To explore the methods of reducing trauma in cholecystectomy and techniques of postoperative pain contral.Methods:Cholecystectomy was performed in 122 cases with the application of cold-light retractor,detaching hooks,titanium clips and analgesia pump.The operative procedure and skills are stationary.Results:All the operation were successfully performed,113 cases with mini-incision(2.5-3.5cm) and 9 cases with small incision(4-4.5cm).There was no death but one with bile duct injury.The average oper...
Keywords:Cholecystectomy  Microtrauma  Painleessness  
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