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开腹手术后的腹腔镜胆囊切除手术
引用本文:叶建宇,周汉新,彭毅,张风涛,钟立明,周晓初,熊沛,尹耀新.开腹手术后的腹腔镜胆囊切除手术[J].中国微创外科杂志,2003,3(1):71-72.
作者姓名:叶建宇  周汉新  彭毅  张风涛  钟立明  周晓初  熊沛  尹耀新
作者单位:北京大学深圳医院,北京大学深圳临床医学院腔镜外科中心,深圳,518036
摘    要:目的 探讨有腹部手术史的病人行腹腔镜胆囊切除术的某些特点。方法 回顾分析34例有腹部手术史的患行腹腔镜胆囊切除术的临床资料。结果 34例中33例顺利完成腹腔镜胆囊切除术,仅1例中转开腹手术。结论 对有腹部手术史的病人行腹腔镜胆囊切除术是可行的,但穿刺孔选择、气腹、粘连的分离应予以注意。

关 键 词:开腹手术  腹腔镜胆囊切除手术  穿刺孔  气腹
文章编号:1009-6604(2003)01-0071-02
修稿时间:2002年3月13日

Laparoscopic cholecystectomy for patients with previous abdominal surgical history
Ye Jianyu,Zhou Hanxin,Peng Yi,et al..Laparoscopic cholecystectomy for patients with previous abdominal surgical history[J].Chinese Journal of Minimally Invasive Surgery,2003,3(1):71-72.
Authors:Ye Jianyu  Zhou Hanxin  Peng Yi  
Institution:Ye Jianyu,Zhou Hanxin,Peng Yi,et al. Laparoscopic Surgery Centre,Peking University Shenzhen Hospital,Peking University Shenzhen Clinical Medical College,Shenzhen 518036,China
Abstract:Objective To study characteristics of laparoscopic cholecystectomy(LC) for patients with previous abdominal surgical history. Methods The clinical data of 34 patients with previous abdominal surgical history performed by LC were reviewed retrospectively. Results LC was successfully performed in 33 cases and 1 case was converted to open operation. Conclusions It is feasible to operate LC on patients with previous abdominal surgical history, but the selection of trocar position, completion of pneumoperitoneum and dissection of adhesion should be empharsized.
Keywords:Laparoscopic cholecystectomy(LC)  Reoperation
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