| 腹腔镜胆囊切除术胆管损伤的预防对策（附600例分析） |
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| 引用本文： | 王广义,刘亚辉,刘瑾琨,王磊,陈光,刘铮,张文良,李楠,王有德,谭毓铨. 腹腔镜胆囊切除术胆管损伤的预防对策（附600例分析）[J]. 临床外科杂志, 2001, 9(3): 137-138 |
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| 作者姓名： | 王广义 刘亚辉 刘瑾琨 王磊 陈光 刘铮 张文良 李楠 王有德 谭毓铨 |
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| 作者单位： | 吉林大学第一医院普外科 |
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| 摘 要： | 目的 总结连续开展腹腔镜胆囊切除术（LC）600例无胆管损伤等严重并发症的成功经验。方法 回顾分析本组成功实施LC600例的临床资料，其中胆囊结石466例，急性胆囊炎23例，胆囊息肉85例，胆囊结石合并息肉15例，慢性胆囊炎11例。结果 完成588例，中转手术12例，600例全部治愈，无胆管损伤等严重并发症发生。结论 严格的技术培训，采用钝性锐性分离相结合法谨慎解剖Calot三角，适时中转手术是成功避免LC术中胆管损伤等严重并发症的关键。
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| 关 键 词： | 腹腔镜术 胆囊切除术 胆管损伤 |
| 文章编号： | 1005-6483（2001）03-0137-02 |
| 修稿时间： | 2000-06-29 |
Prevention strategies of biliary tract injury of LC (600 cases report) |
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| WANG Guangyi,LIU Yahui,LIU Jinkun,et al.. Prevention strategies of biliary tract injury of LC (600 cases report)[J]. Journal of Clinical Surgery, 2001, 9(3): 137-138 |
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| Authors: | WANG Guangyi LIU Yahui LIU Jinkun et al. |
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| Affiliation: | WANG Guangyi,LIU Yahui,LIU Jinkun,et al. Department of General Surgery,First Teaching Hospital,Bethune University of Medical Sciences,Changchun 130021,China [ |
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| Abstract: | Objective To summarize the successful experience of LC 600 cases without biliary tract injury and other severe complications.Methods Retrospective analysis was made on 600 patients underwent LC successfully including 466 cases of gallbladder gallstone, 23 cases of acute cholecystitis, 85 cases of gallbladder polyps, 15 cases of gallbladder gallstone with polyps, 11 cases of chronic cholecystitis.Results LC was performed on 588 cases, 12 cases converted to open cholecystectomy. All patients were cured without biliary tract injury and other severe complications.Conclusion It is key point for preventing biliary tract injury to keep strict technique training,to disect carefully the calot triangle by dull and sharp dissection, and to convert to open cholecystectomy timely. [ |
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| Keywords: | Laparoscopic Cholecystectomy Biliary tract injury |
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