首页 | 官方网站   微博 | 高级检索  
     

困难性腹腔镜胆囊切除术的手术经验
引用本文:莫小华,孙敏,谭晶,龙奎,董文志.困难性腹腔镜胆囊切除术的手术经验[J].昆明医学院学报,2010,31(3):36-38.
作者姓名:莫小华  孙敏  谭晶  龙奎  董文志
作者单位:昆明医学院第二附属医院腹部微创外科,云南,昆明,650101
摘    要:目的探讨困难性腹腔镜胆囊切除术的原因和处理经验.方法回顾分析76例困难性腹腔镜胆囊切除术的临床资料.结果困难原因是:胆囊颈部结石嵌顿39例;胆囊与邻近脏器粘连16例;胆囊萎缩13例;Mirizzi综合症Ⅰ型5例;酒精性肝硬化2例;结肠明显胀气1例;74例完成腹腔镜胆囊切除术.2例中转开腹手术.结论术者熟练的操作是困难性腹腔镜胆囊切除术成功的关键,只要方法恰当,是安全可行的.

关 键 词:胆囊切除术  腹腔镜  手术经验

Clinical Experiences of Difficult Laparoscopic Cholecystectomy
MO Xiao-hua,SUN Min,TAN Jing,LONG Kui,DONG Wen-zhi.Clinical Experiences of Difficult Laparoscopic Cholecystectomy[J].Journal of Kunming Medical College,2010,31(3):36-38.
Authors:MO Xiao-hua  SUN Min  TAN Jing  LONG Kui  DONG Wen-zhi
Affiliation:Dept.of Abdominal Minimally Invasive Surgery/a>;The 2nd Affiliated Hosptal of Kunming Medical University/a>;Kunming Yunnan 650101/a>;China
Abstract:Objective Tostudythe cause and management skill ofdifficult laparoscopic cholecystectomy.Method A retrospective analysis of 76 clinical data of difficult laparoscopic cholecystectomies was performed.Results The predictive factors leading to operative difficulty were follows:39 cases were stone incarcerated on the neck of gallbladder;16 cases were adhesion around gallbladder;13 cases were gallbladder atrophy;5 cases were Mirizzi syndrome;2 cases were alcoholic cirrhosis;1 case was colon obvious flatulence;74...
Keywords:Cholecystectomy  Laparoscope  Clinical experience  
本文献已被 CNKI 维普 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司    京ICP备09084417号-23

京公网安备 11010802026262号