| 困难腹腔镜胆囊切除术100例分析 |
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| 引用本文： | 张红卫,陈亚进,张磊.困难腹腔镜胆囊切除术100例分析[J].中华腔镜外科杂志（电子版）,2010,3(3):37-39. |
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| 作者姓名： | 张红卫 陈亚进 张磊 |
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| 作者单位： | 中山大学附属第二医院,孙逸仙纪念医院,肝胆外科,广州,510120 |
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| 摘 要： | 目的探讨腹腔镜下完成困难胆囊切除术的可行性。方法腹腔镜下进行困难胆囊切除术100例（男53例，女47例）。其中急性化脓性胆囊炎52例（52％），上腹部手术史导致胆囊三角区严重粘连者18例（18％），萎缩性胆囊炎合并充满型胆囊结石17例（17％），胆囊结石合并门脉高压症7例（7％），Mirizzi综合征6例（6％）。结果95例在腹腔镜下成功完成胆囊切除术，另外5例中转开腹手术，中转率为5％。中转原因包括：腹腔镜下无法控制的出血2例，难以辨认肝外胆管的位置3例。平均手术时间（82．1±18．5）min。所有患者均痊愈出院，平均住院时间（7．2±2．3）d。手术后并发症有：胆瘘2例，切口感染2例，肺部感染1例。结论在技术成熟的前提下，腹腔镜下完成困难的胆囊切除术是可行和相对安全的。
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| 关 键 词： | 腹腔镜 困难胆囊切除 |
An analysis of difficult laparoscopic cholecystectomy in one hundred cases |
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| ZHANG Hong-wei,CHEN Ya-jin,ZHANG Lei.An analysis of difficult laparoscopic cholecystectomy in one hundred cases[J].Chinese Journal of Laparoscopic Surgery ( Electronic Editon),2010,3(3):37-39. |
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| Authors: | ZHANG Hong-wei CHEN Ya-jin ZHANG Lei |
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| Institution: | ZHANG Hong-wei,CHEN Ya-jin,ZHANG Lei.Department of Hepatobiliary Surgery,Sun Yat-sen Memorial Hospital of Sun Yat-sen University,Guangzhou 510120,China |
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| Abstract: | Objective To investigate the feasibility of laparoscopic cholecystectomy in difficult cases.Methods Laparoscopic cholecystectomy was carried out in 100 patients(men 53,women 47) with complicated cholelithiasis.Among them,52 patients(52 %) suffered from acute suppurative cholecystitis and 18 patients(18 %) had dense adhesion of Calot's triangle caused by past upper abdominal operation.Seventeen patients(17 %) suffered from chronic calculic atrophy cholecystitis with severe fibrosis,7 patients(7 %) from chron... |
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| Keywords: | Laporoscopy Difficult laparoscopiccholecystectomy |
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