| 上腹部手术史患者腹腔镜胆囊切除(附28例报告) |
| |
| 引用本文： | 梅拥平,陈一峰,孙春荣,徐航,陈汝岱.上腹部手术史患者腹腔镜胆囊切除(附28例报告)[J].医学新知杂志,2004,14(4):231-232. |
| |
| 作者姓名： | 梅拥平 陈一峰 孙春荣 徐航 陈汝岱 |
| |
| 作者单位： | 苏州市第三人民医院普外科,江苏苏州,210008 |
| |
| 摘 要： | 目的 探讨上腹部手术史患者腹腔镜胆囊切除(LC)的可行性及其适应证。方法 对28例有上腹部手术史患者采用4孔法行腹腔镜胆囊切除术。结果 28例中24例成功完成LC，4例中转开腹，无术中、术后并发症发生。结论：上腹部有手术病史的患者不是腹腔镜胆囊切除术的禁忌证，基本可达到常规LC的效果，但手术操作难度增大，中转率较高。
|
| 关 键 词： | 上腹部手术 腹腔镜 胆囊切除 中转率 可行性 适应证 |
| 修稿时间： | 2004年9月7日 |
Laparoscopic Cholecystectomy in Patients with Previous Upper Abdominal Surgeries |
| |
| Meiyongpin,Chen Yifeng,Sun Chunrong,et al.Laparoscopic Cholecystectomy in Patients with Previous Upper Abdominal Surgeries[J].Journal of New Medicine,2004,14(4):231-232. |
| |
| Authors: | Meiyongpin Chen Yifeng Sun Chunrong |
| |
| Institution: | Meiyongpin,Chen Yifeng,Sun Chunrong,et al Department of Surgery,the Third People's Hospital of Suzhou 215008 |
| |
| Abstract: | Objective To evaluate the feasibility and indications of laparoscopic cholecystectomy (LC) in patients with previous upper abdominal surgeries.Methods The clinical data of 28 patients of LC with previous upper abdominal surgeries from August 1995 to October 2002 were retrospectively analyzed.Results LC were successfully performed in 24 of the patients. 4 out of 28 patients were converted into open Cholecystectomy. No complication occurred operatively or postoperatively. Conclusions Previous upper abdominal surgeries should not be regarded as a contraindication to LC. It is as effective as routine LC. But the operation is very difficult with higher conversive rate. |
| |
| Keywords: | Upper abdominal surgery Laparoscopic cholecystectomy Conversive rate |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
