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开腹手术后的腹腔镜胆囊切除手术

Laparoscopic cholecystectomy for patients with previous abdominal surgical history

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【作者】 叶建宇周汉新彭毅张风涛钟立明周晓初熊沛尹耀新

【Author】 Ye Jianyu, Zhou Hanxin, Peng Yi, et al. Laparoscopic Surgery Centre, Peking University Shenzhen Hospital, Peking University Shenzhen Clinical Medical College, Shenzhen 518036, China

【机构】 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北京大学深圳临床医学院腔镜外科中心 深圳518036深圳518036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者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。

【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.

  • 【文献出处】 中国微创外科杂志 ,Chinese Journal of Minimally Invasive Surgery , 编辑部邮箱 ,2003年01期
  • 【分类号】R657.4
  • 【被引频次】4
  • 【下载频次】29
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