| 困难型腹腔镜胆囊切除术中医源性胆道损伤的预防策略 |
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| 引用本文： | 吴小忠.困难型腹腔镜胆囊切除术中医源性胆道损伤的预防策略[J].中国现代手术学杂志,2009,13(6). |
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| 作者姓名： | 吴小忠 |
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| 作者单位： | 江苏省宜兴市第二人民医院普外科,宜兴,324000 |
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| 摘 要： | 目的总结后-前胆囊三角解剖入路法在困难型腹腔镜胆囊切除术(laparoscop ic chole-cystectomy,LC)中预防医源性胆道损伤的价值。方法在265例困难型LC术中应用联合解剖后-前胆囊三角入路法切除胆囊。结果260例顺利完成LC,中转开腹手术5例,原因为胆囊壶腹冰冻样粘连无法解剖出胆囊后-前三角3例,胆囊床肝中静脉属支祼露分破出血中转开腹缝合止血2例。另有2例术中胆囊床迷走胆管胆漏,镜下夹闭成功;术中出血3例予镜下止血满意,无胆道损伤病例。结论联合解剖后-前胆囊三角入路法对预防困难型LC术中医源性胆道损伤有一定的价值,是可供选择的安全有效果的手术方式之一。
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| 关 键 词： | 胆囊切除术 腹腔镜 |
Prevention Strategies for the Intraoperative Iatrogenic Bile Duct Injury in Difficult Laparoscopic Cholecystectomy |
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| WU Xiao-zhong.Prevention Strategies for the Intraoperative Iatrogenic Bile Duct Injury in Difficult Laparoscopic Cholecystectomy[J].Chinese Journal of Modern Operative Surgery,2009,13(6). |
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| Authors: | WU Xiao-zhong |
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| Institution: | WU Xiao-zhong(Department of General Surgery; Second People s Hospital of Yixing; Yixing 324000; Jiangsu; China); |
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| Abstract: | Objective To assess the value of the union of posterior and anterior approach to Calot s triangle to prevent the intraoperative iatrogenic bile duct injury in difficult laparoscopic cholecystectomys(LC).Method In the 265 cases of difficult LC,the joint of posterior and anterior approach to the Calot s triangle for dissection of the cholecystectomy was applied,and the results were analyzed retrospectively.Results In all the 265 cases,260 cases underwent LC safely,but 5 cases were turned to conventional open ... |
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| Keywords: | cholecystectomy laparoscopic |
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