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按步聚、顺层次钝性冷分离在腹腔镜胆囊切除术中的应用
引用本文:黄军利,涂永久,杨伟银.按步聚、顺层次钝性冷分离在腹腔镜胆囊切除术中的应用[J].腹腔镜外科杂志,2008,13(5).
作者姓名:黄军利  涂永久  杨伟银
作者单位:中国人民解放军第174医院,福建,厦门,361000
摘    要:目的:探讨按步骤、顺层次钝性冷分离方法在腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)中的应用。方法:1153例胆囊良性疾病患者全部采用按步骤、顺层次钝性冷分离法行LC,术前均不置胃管、尿管,根据需要放置引流管。结果:1136例成功完成LC,中转开腹8例,发生胆漏5例,操作孔脂肪液化4例。无肝外胆管损伤及出血。结论:按步骤、顺层次钝性冷分离用于腹腔镜胆囊切除术安全、可靠、有效。

关 键 词:冷分离  胆囊切除术  腹腔镜

The application of dissection gradually and without using Hookelectrode in laparoscopic cholecystectomy
HUANG Jun-li,TU Yong-jiu,YANG Wei-yin.The application of dissection gradually and without using Hookelectrode in laparoscopic cholecystectomy[J].Journal of Laparoscopic Surgery,2008,13(5).
Authors:HUANG Jun-li  TU Yong-jiu  YANG Wei-yin
Abstract:Objective:To explore the process of dissection gradually and without using Hookelectrode in laparoscopic cholecystectomy(LC).Methods:One thousand and one hundred fifty-three cases were received LC by way of dissection gradually and without using Hookelectrode,no gastric tube or urinary canal was used unless drainage tube according to the demand.Results:One thousand and one hundred thirty-six cases completed LC successfully,8 cases convered to open operation,5 cases occurred leakage of bile,4 cases emerged c...
Keywords:No using hookelectrode  Cholecystectomy laparoscopic  
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