| 困难的腹腔镜胆囊切除术181例 |
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| 引用本文： | 吴声堂,周夏,侯修强,王照帆. 困难的腹腔镜胆囊切除术181例[J]. 中华普外科手术学杂志(电子版), 2010, 4(3): 57-58. DOI: 10.3877/cma.j.issn.1674-3946.2010.03.019 |
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| 作者姓名： | 吴声堂 周夏 侯修强 王照帆 |
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| 作者单位： | 武昌医院普外科,武汉,430063 |
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| 摘 要： | 目的总结困难的腹腔镜胆囊切除术手术经验。方法回顾性分析181例困难的胆囊腹腔镜手术病例资料。结果中转开腹6例,中转率3.3%。全组无死亡病例,术后并发症总并发率为19.3%(35/181),其中并发心力衰竭2例,心绞痛发作3例,肺部感染10例,肠功能恢复延迟6例,膈下,戳口感染13例,胰腺炎1例,均治愈。结论困难的腹腔镜胆囊切除术前应综合考虑患者全身情况以及伴发疾病,结合胆囊病变进行评估,术中以优良的手术技巧保证手术效果。
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| 关 键 词： | 胆囊切除术 腹腔镜 回顾性研究 手术后并发症 |
Difficult laparoscopic cholecystectomy: report of 181 cases |
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| WU Sheng-tang,ZHOU Xia,HOU Xiu-qiang,WANG Zhao-fan. Difficult laparoscopic cholecystectomy: report of 181 cases[J]. CHINESE JOURNAL OF OPERATIVE PROCEDURES OF GENERAL SURGERY（Electronic Edition）, 2010, 4(3): 57-58. DOI: 10.3877/cma.j.issn.1674-3946.2010.03.019 |
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| Authors: | WU Sheng-tang ZHOU Xia HOU Xiu-qiang WANG Zhao-fan |
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| Affiliation: | WU Sheng-tang,ZHOU Xia,HOU Xiu-qiang,WANG Zhao-fan.Department of General Surgery,Wuchang Hospital of Wuhan,Wuhan,430063,china |
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| Abstract: | Objective To summarize the experience with difficult laparoscopic cho-lecystectomy (LC). Methods From 1978 to 2010,clinical data of 181 patients who had undergone difficult laparoscopic cholecystectomy were analyzed retrospectively. Results LC was performed successfully in 175 patients,and conversion from laparoscopic operation to open cholecystectomy (OC) occurred in 6 patients. There was no death in this series of patients. Postoperative complications were cured,including heart failure in 2 patients,angin... |
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| Keywords: | Cholecystectomy laparoscopic Retrospective studies Postoperative complications |
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