| 胃大部切除术后腹腔镜胆囊切除术 |
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| 引用本文： | 安宁,金龙标.胃大部切除术后腹腔镜胆囊切除术[J].肝胆外科杂志,1998,6(2):94-95. |
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| 作者姓名： | 安宁 金龙标 |
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| 作者单位： | 上海宝山中心医院!201900，上海宝山中心医院!201900，上海宝山中心医院!201900，上海宝山中心医院!201900，第二军医大学东方肝胆外科医院!上海，200433 |
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| 摘 要： | 腹腔镜胆囊切除术开展初期，上腹部既往有手术史的病人被列为相对禁忌症。我院所总结的５８０例ＬＣ中，有１３例过去做过胃大部切除术。我们采用了Ｖｅｒｅｓｓ或Ｈａｓｓｏｎ法，建立气腹，用电凝钩贴近腹膜锐性分离，操作中宁伤腹膜，勿伤肠管，分离至Ｃａｌｏｔ三角，仍然粘连紧密，应及时中转开腹。全组病人平均手术时间１小时。手术顺利，术后１周左右均痊愈出院。
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| 关 键 词： | 腹腔粘连 腹腔镜 胆囊切除术 |
LAPAROSCOPIC CHOLECYSTECTOMY IN PATIENTS UNDERGOING GASTRECTOMY |
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| An Ning,Jin Longbiao, Zhu Yu, etal..LAPAROSCOPIC CHOLECYSTECTOMY IN PATIENTS UNDERGOING GASTRECTOMY[J].Journal of Hepatobiliary Surgery,1998,6(2):94-95. |
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| Authors: | An Ning Jin Longbiao Zhu Yu etal |
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| Abstract: | The purpose of this study was to confirm that the patients who have ever had gastrectomy can also be performed by laparoscopic cholecystectomy. We have 13 patients gastrectomy among the 580 laparoscopic cholecystectomies,with gastrectomy.The peritoneal was made by Veress or Hasson way. In the operation,we used electrical hook to dissect the adhesion only. All the 13 cases underwent LC successfully. The average operation time was 1 hour. Most patients could take a walk next morning,and be discharged in a week. The procedure is safe and has less blood loss. |
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| Keywords: | Peritoneal Adhesion LC |
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