中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
7期
88-90
,共3页
覃文%黄素连%伍剑飞%黄雪卿%郭文邦
覃文%黃素連%伍劍飛%黃雪卿%郭文邦
담문%황소련%오검비%황설경%곽문방
腹部手术史%胆囊切除术%腹腔镜
腹部手術史%膽囊切除術%腹腔鏡
복부수술사%담낭절제술%복강경
History of abdominal operation%Cholecystectomy%Laparoscopy
目的 总结有腹部手术史的患者行腹腔镜胆囊切除术的手术经验.方法 避开原有切口选择第一戳孔,必要时采用开放法置入穿刺鞘,注重腹腔粘连区的分离技巧.结果 本组34例其中32例成功完成手术,中转开腹2例,无手术并发症.结论 有腹部手术史患者行腹腔镜胆囊切除术是安全可行的.
目的 總結有腹部手術史的患者行腹腔鏡膽囊切除術的手術經驗.方法 避開原有切口選擇第一戳孔,必要時採用開放法置入穿刺鞘,註重腹腔粘連區的分離技巧.結果 本組34例其中32例成功完成手術,中轉開腹2例,無手術併髮癥.結論 有腹部手術史患者行腹腔鏡膽囊切除術是安全可行的.
목적 총결유복부수술사적환자행복강경담낭절제술적수술경험.방법 피개원유절구선택제일착공,필요시채용개방법치입천자초,주중복강점련구적분리기교.결과 본조34례기중32례성공완성수술,중전개복2례,무수술병발증.결론 유복부수술사환자행복강경담낭절제술시안전가행적.
Objective To summarize the experiences of the laparoscopic cholecystectomy for patients with history of abdominal operation.Methods 34 cases were performed laparoscopy,in which the primitive incision was avoided and the was avoided and the stad was chosen,If necessary,opening method can be use to insert the trocar,and the adhesive tissue was dissected skillfully.Results Of the 34 cases,32 cases were operated successfully,2 cases change to laparotomy,all the patients recovered without any complication.Conclusion The laparoscopy in the patients with history of abdominal operation was safe and possible.
