| 免钛夹法腹腔镜胆囊切除术应用800例 |
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| 引用本文： | 胡友主,王存川,徐以浩,陈鋆,许朋.免钛夹法腹腔镜胆囊切除术应用800例[J].广东医学,2005,26(1):13-14. |
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| 作者姓名： | 胡友主 王存川 徐以浩 陈鋆 许朋 |
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| 作者单位： | 暨南大学附属第一医院微创外科中心,广州,510630;暨南大学附属第一医院微创外科中心,广州,510630;暨南大学附属第一医院微创外科中心,广州,510630;暨南大学附属第一医院微创外科中心,广州,510630;暨南大学附属第一医院微创外科中心,广州,510630 |
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| 基金项目： | 广州市科学技术基金项目 (编号 :2 0 0 0 -T -0 0 7-0 1) |
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| 摘 要： | 目的 探讨腹腔镜胆囊切除术中不使用钛夹的技术 ,观察其临床效果。方法 80 0例腹腔镜胆囊切除术术中采用镜下打结、线圈套扎及超声刀技术处理胆囊动脉或胆囊管完成手术 ;对照组采用钛夹夹闭胆囊动脉与胆囊管完成腹腔镜胆囊切除术 32 6例 ,比较临床效果。结果 80 0例全部顺利完成 ,无中转开腹。免钛夹组手术时间较长 (P <0 0 1) ,术后肠道功能恢复时间、术后住院时间等恢复指标两组类似 ,两组均无术后大出血、胆瘘等并发症发生。结论 借助镜下打结、线圈套扎及超声刀技术 ,腹腔镜胆囊切除术可以不使用钛夹 ,手术安全可靠。
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| 关 键 词： | 腹腔镜 胆囊切除术 钛夹 |
| 修稿时间： | 2004年11月13 |
Laparoscopic cholecystectomy without titanium- clips: 800 cases reports |
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| Hu Youzhu,Wang Cunchuan,Chen jun,et al..Laparoscopic cholecystectomy without titanium- clips: 800 cases reports[J].Guangdong Medical Journal,2005,26(1):13-14. |
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| Authors: | Hu Youzhu Wang Cunchuan Chen jun |
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| Institution: | Hu Youzhu,Wang Cunchuan,Chen jun,et al. Minimal Invasive Surgical Center,First Affiliated Hospital,Jinan University,Guangzhou 510630 |
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| Abstract: | Objective To explore the effect of laparoscopic cholecystectomy without using titanium-clips. Methods 800 patients(Group 1) underwent laparoscopic cholecystectomy without using titanium-clips were compared to 326 patients(Group 2) using titanium-clips. Results All cases were successfully operated without conversion to laparotomy. The operating time was longer in Group 1(P<0.01). The recovery time of postoperative intestine function and the length of postoperative hospital stay were similar, and there were no bile leakage in both groups. Conclusion Laparoscopic cholecystectomy without titanium-clips is safe. |
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| Keywords: | Laparoscopy Cholecystectomy Titanium-clips |
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