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腹腔镜胆囊切除术420例临床分析
引用本文:陈军,朱勇,李兴. 腹腔镜胆囊切除术420例临床分析[J]. 腹腔镜外科杂志, 2003, 8(2): 73-74
作者姓名:陈军  朱勇  李兴
作者单位:安徽省怀远县第二人民医院,怀远,233400
摘    要:目的 :探讨基层医院临床应用腹腔镜胆囊切除术 (LC)的适应证 ,研究术前评估LC难度的标准。方法 :回顾分析 4 2 0例LC的临床资料。结果 :成功施行LC 4 10例 ,中转开腹 10例 ,严重并发症 3例。结论 :根据病史及B超检查可在术前判断LC的难易度 ,只要掌握LC技术 ,对手术难度大的患者行LC是安全的 ,果断地中转开腹是避免LC严重并发症的最好方法。腹腔引流对严重炎症渗出及可疑损伤病例是必要的。

关 键 词:胆囊切除术,腹腔镜  医院,县  病例报告
文章编号:1009-6612(2003)02-0073-02
修稿时间:2002-09-03

Laparoscopic cholecystectomy in 420 cases
CHEN Jun,ZHU Yong,LI Xing. Laparoscopic cholecystectomy in 420 cases[J]. Journal of Laparoscopic Surgery, 2003, 8(2): 73-74
Authors:CHEN Jun  ZHU Yong  LI Xing
Abstract:Objective:To explore the indication of laparoscopic cholecystectomy (LC) and the standard of difficulty in basic hospital.Methods:The clinical data of 420 cases performed LC were retrospectively analyzed.Results:410 cases succeeded in LC, 10 cases transferred to open cholecystectomy, 3 cases had serious complication.Conclusions:By acknowledge of history and B ultrasound, LC can be judged the degree of difficulty. Meanwhile in LC, resolute transferring to open operation and drainage are necessary to avoid serious complication.
Keywords:Cholecystectomy   laparoscopy  Hospital   county  Case report
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