| 急性胆囊炎腹腔镜胆囊切除术79例临床分析 |
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| 引用本文： | 陈建尧,蔡秀军.急性胆囊炎腹腔镜胆囊切除术79例临床分析[J].中国微创外科杂志,2004,4(1):69-70. |
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| 作者姓名： | 陈建尧 蔡秀军 |
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| 作者单位： | 1. 浙江省绍兴第二医院肝胆外科,绍兴,312000
2. 浙江大学医学院附属邵逸夫医院落肝胆外科 杭州,310016 |
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| 摘 要： | 目的总结腹腔镜下处理急性胆囊炎的临床经验. 方法回顾性分析2002年9月～2003年8月79例腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)治疗急性胆囊炎(acute cholecystitis,AC)的临床资料. 结果 75例术中胆道造影成功,显示胆总管结石6例,其中4例行LC联合术中内镜括约肌切开取石,2例中转开腹行胆总管切开取石T管引流.单纯胆囊结石73例,70例LC成功,3例因炎症粘连明显而中转开腹.全组无严重并发症发生. 结论绝大多数急性胆囊炎行腹腔镜胆囊切除术安全可行.
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| 关 键 词： | 急性胆囊炎 腹腔镜胆囊切除术 术中胆道造影 |
| 文章编号： | 1009-6604(2004)01-0069-02 |
| 修稿时间： | 2003年8月8日 |
Laparoscopic cholecystectomy for acute cholecystitis:A clinical analysis of 79 cases |
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| Chen Jianyao,Cai Xiujun.Laparoscopic cholecystectomy for acute cholecystitis:A clinical analysis of 79 cases[J].Chinese Journal of Minimally Invasive Surgery,2004,4(1):69-70. |
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| Authors: | Chen Jianyao Cai Xiujun |
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| Institution: | Chen Jianyao*,Cai Xiujun.*Department of Surgery,Shaoxing Second Hospital,Shaoxing 312000,China |
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| Abstract: | Objective To summarize the clinical experience of laparoscopic cholecystectomy (LC) for acute cholecystitis. Methods Clinical records of 79 cases of acute cholecystitis treated by LC from September 2002 to August 2003 were respectively reviewed. Results Intraoperative cholangiography (IOC) was successfully conducted in 75 cases, 6 of which were found common bile duct stones. Of the 6 cases, 4 underwent LC combined with intraoperative endoscopic sphincterotomy and 2 underwent a conversion to open choledochotomy with T-tube drainage. The rest of 73 cases were diagnosed as simple gallbladder stones: LC was successfully accomplished in 70 cases and a conversion to open surgery was required in 3 cases because of serious inflammatory adhesion. In the study no severe complications occurred. Conclusions LC can be performed safely in the majority of cases of acute cholecystitis. |
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| Keywords: | Acute cholecystitis Laparoscopic cholecystectomy Intraoperative cholangiography |
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