| 达芬奇手术机器人系统治疗胆石症合并胆囊十二指肠瘘 |
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| 引用本文： | 车金辉,嵇武,丁凯,白小武,杨荣. 达芬奇手术机器人系统治疗胆石症合并胆囊十二指肠瘘[J]. 临床误诊误治, 2011, 24(7): 25-26,109 |
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| 作者姓名： | 车金辉 嵇武 丁凯 白小武 杨荣 |
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| 作者单位： | 南京大学医学院临床学院(南京军区南京总医院)解放军普通外科研究所,南京,210002 |
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| 摘 要： | 目的总结达芬奇手术机器人系统(Da Vinci surgical system,DVSS)对胆石症合并胆囊十二指肠瘘的治疗方法。方法回顾分析我院1例经DVSS治疗的胆石症合并胆囊十二指肠瘘的临床资料。结果患者反复右上腹疼痛不适20余年,疼痛再次发作伴发热入院。术前诊断为慢性胆囊炎急性发作、胆囊结石、胆总管结石。在DVSS辅助下行胆囊切除术、胆总管切开取石T管引流术,术中见十二指肠球部及胆囊壶腹部各有一直径1 cm瘘口,即行瘘口修补术,手术顺利。术后补充诊断:胆囊十二指肠瘘。术后3个月随访,无并发症。结论 DVSS应用于复杂胆道系统疾病的治疗,术野清晰,操作简单,手术创伤小,术后恢复快,具有临床推广价值。
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| 关 键 词： | 胆囊结石病 胆总管结石 胆瘘 手术机器人 腹腔镜 |
Da Vinci Surgical System in Treatment of Cholelithiasis Combined with Cholecystoduodenal Fistula |
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| CHE Jin-hui,JI Wu,DING Kai,BAI Xiao-wu,YANG Rong. Da Vinci Surgical System in Treatment of Cholelithiasis Combined with Cholecystoduodenal Fistula[J]. Clinical Misdiagnosis & Mistherapy, 2011, 24(7): 25-26,109 |
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| Authors: | CHE Jin-hui JI Wu DING Kai BAI Xiao-wu YANG Rong |
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| Affiliation: | CHE Jin-hui,JI Wu,DING Kai,BAI Xiao-wu,YANG Rong(Research Institute of General Surgery,Clinical School of Medical College of Nanjing University,Nanjing General Hospital of Nanjing Military Area Command,Nanjing 210002,China) |
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| Abstract: | Objective To summarize the methods of Da Vinci Surgical System(DVSS) in treatment of cholelithiasis combined with cholecystoduodenal fistula.Methods The clinical data of a patient with cholelithiasis and cholecystoduodenal fistula treated by DVSS were retrospectively analyzed.Results The patient had repetatus iterative pains and indisposition on the right upper quadrant for over 20 years,and was admitted to the hospital for attacking pain with fever.He was diagnosed as having chronic cholecystitis with acut... |
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| Keywords: | Cholecystolithiasis Choledocholith Bilitary fistular Surgical robotics Laparoscope |
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