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有上腹部手术史患者行腹腔镜胆囊切除术的临床分析
引用本文:李奎,保红平,高瑞刚,张雪松,刘天锡. 有上腹部手术史患者行腹腔镜胆囊切除术的临床分析[J]. 腹腔镜外科杂志, 2009, 14(2)
作者姓名:李奎  保红平  高瑞刚  张雪松  刘天锡
作者单位:曲靖市第二人民医院,云南,曲靖,655000
摘    要:目的:探讨上腹部手术后患者行腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)的可行性和应用价值。方法:回顾分析我院2003年1月至2007年12月为141例有上腹部手术史患者行LC的临床资料。结果:141例中135例顺利完成手术,平均手术时间43min。2例胃肠损伤于镜下完成修补,1例术后24h发现腹膜炎开腹探查;5例因腹腔粘连严重中转开腹,全部病例均治愈。结论:有上腹部手术史患者行LC安全可行。

关 键 词:腹部手术  腹腔粘连  胆囊切除术,腹腔镜

Clinical analysis of laparoscopic cholecystectomy for patients with epigastric operative history
LI Kui,BAO Hong-ping,GAO Rui-gang,et al.. Clinical analysis of laparoscopic cholecystectomy for patients with epigastric operative history[J]. Journal of Laparoscopic Surgery, 2009, 14(2)
Authors:LI Kui  BAO Hong-ping  GAO Rui-gang  et al.
Affiliation:LI Kui,BAO Hong-ping,GAO Rui-gang,et al.Dept.of General Surgery,the Qujing Second People's Hospital,Qujing 655000,China
Abstract:Objective:To investigate the feasibility,safety and clinical value of laparoscopic cholecystectomy(LC)for the patients with epigastric operative history.Methods:Clinical data of 141 patients with epigastric operative history who underwent LC from Jan.2003 to Dec.2007 in our hospital was collected and analyzed retrospectively.Results:Laparoscopic cholecystectomy was successfully performed on 135 of the 141 cases and the average operation time was 43 minutes.Gastrointestinal injury was detected and restored d...
Keywords:Abdominal operation  Abdominal adhesions  Cholecystectomy  laparoscopic  
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