| 有胆囊切除史的腹腔镜胆总管切开取石术 |
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| 引用本文： | 胡友主,王存川,陈鋆,徐以浩.有胆囊切除史的腹腔镜胆总管切开取石术[J].中国医师进修杂志,2003,26(8):23-24. |
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| 作者姓名： | 胡友主 王存川 陈鋆 徐以浩 |
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| 作者单位： | 暨南大学医学院第一附属医院,腹腔镜外科,广东,广州,510630 |
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| 摘 要： | 目的 探讨有胆囊切除术史的腹腔镜胆总管切开取石术的可行性。方法 回顾分析 1 2例有胆囊切除史的腹腔镜胆总管切开取石术 ,其中伴开腹胆囊切除术 7例 ,腹腔镜胆囊切除术 3例 ,开腹胆囊切除术加胆总管切开取石术 2例。取同期无腹部手术史的腹腔镜胆总管切开取石术 36例作对照比较 ,所得数据选用t检验。结果 全部手术成功 ,无中转开腹 ,无术后并发症。有胆囊切除术史组手术时间较长 ,术中出血 ,术后住院时间两组类似。结论 胆囊切除术后的腹腔镜胆总管切开取石术可行 ,值得进一步探索
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| 关 键 词： | 腹腔镜 胆总管切开取石术 胆囊切除术 粘连 |
| 文章编号： | 1002-0764(2003)08-0023-02 |
| 修稿时间： | 2002年9月10日 |
LAPAROSCOPIC CHOLEDOCHOLITHOTOMY IN PATIENT WITH POSTCHOLECYSTECTOMY |
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| HU You_zhu,WANG Cun_chuan,CHEN Jun,XU Yi_hao.LAPAROSCOPIC CHOLEDOCHOLITHOTOMY IN PATIENT WITH POSTCHOLECYSTECTOMY[J].Chinese Journal of Postgraduates of Medicine,2003,26(8):23-24. |
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| Authors: | HU You_zhu WANG Cun_chuan CHEN Jun XU Yi_hao |
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| Abstract: | Objective\ To evaluate the effect of laparoscopic choledocholithotomy with post-cholecystectomy .Methods\ 12 patients (group 1) with cholecystectomy undergoing laparoscopic choledocholithotomy were reviewed retrospectively and compared with 36 patients (group 2) without abdominal operation undergoing laparoscopic choledocholithotomy .Results\ Laparoscopic choledocholithotomy was successfully performed in all cases without conversion to laparotomy as well as postoperative complications.The operative time of group 1 was longer than that of group 2 (P<0.01),while the amount of intraoperative bleeding and postoperative subhepatic drainage,the duration of postoperative hospitalization were equivalent.Conclusions\ Laparoscopic choledocholithotomy is enabled to be done safely without laparotomy for those cases with cholecystectomy history. |
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| Keywords: | laparoscopy choledocholithotomy cholecystectomy adhesion |
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