| 胆囊管逆行分离法在1460例腹腔镜胆囊切除术中的应用 |
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| 引用本文： | 刘晓辉,李桂良,陆光美,陈建富,谢开斌,宋文周,罗开元.胆囊管逆行分离法在1460例腹腔镜胆囊切除术中的应用[J].中国微创外科杂志,2006,6(10):759-760. |
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| 作者姓名： | 刘晓辉 李桂良 陆光美 陈建富 谢开斌 宋文周 罗开元 |
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| 作者单位： | 1. 云南省临沧市第二人民医院普外科,临沧,677000
2. 云南省第二人民医院普外科,昆明,650021 |
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| 摘 要： | 目的探讨腹腔镜下安全、有效的解剖胆囊管的方法。方法2002年12月～2005年12月，我院采用胆囊管逆行分离法解剖胆囊管行1460例腹腔镜胆囊切除术（laparoscopic cholecystectomy，LC）。结果顺利完成LC 1442例，手术时间15～100min，平均42min。中转开腹18例（1．23％），胆管损伤5例（0．34％），腹腔出血3例（0．21％），胆漏3例（0．21％）。随访2～24个月，平均11．8月，胆总管残余结石2例。结论胆囊管逆行分离法解剖胆囊管行LC是一种安全、容易掌握的手术方法。
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| 关 键 词： | 胆囊管逆行分离法 腹腔镜胆囊切除术 |
| 文章编号： | 1009-6604（2006）10-0759-02 |
| 收稿时间： | 2006-03-04 |
| 修稿时间： | 2006-06-30 |
Application of retrograde dissection of the cystic duct in 1 460 cases of laparoscopic cholecystectomy |
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| Liu Xiaohui, Li Guiliang, Lu Guangmei.Application of retrograde dissection of the cystic duct in 1 460 cases of laparoscopic cholecystectomy[J].Chinese Journal of Minimally Invasive Surgery,2006,6(10):759-760. |
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| Authors: | Liu Xiaohui Li Guiliang Lu Guangmei |
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| Abstract: | Objective To study a safe and effective method for the dissection of the cystic duct under laparoscope.Methods Laparoscopic cholecystectomy was performed in 1 460 cases,by using the retrograde dissection of the cystic duct,from December 2002 to December 2005 in this hospital. Results The laparoscopic cholecystectomy was successfully completed in 1 442 cases,with an operation time of 15~100 min(mean, 42 min).A conversion to open surgery was required in 18 cases(1.23%).Complications included 5 cases of bile duct injury(0.34%),3 cases of intraabdominal hemorrhage(0.21%),and 3 cases of biliary leakage(0.21%).Follow-up for 2~24 months(mean,11.8 months) found 2 cases of residual calculi in the common bile duct.Conclusions The retrograde dissection of the cystic duct during laparoscopic cholecystectomy is a safe method and simple to perform. |
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| Keywords: | Retrograde dissection of the cystic duct Laparoscopic cholecystectomy |
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