摘要
目的 :总结有腹部手术史的患者行腹腔镜手术的经验。方法 :避开原有切口选择第 1戳孔 ,必要时采用开放法置入穿刺鞘 ,注重粘连区的分离技巧。结果 :2 56例中 2 54例成功完成手术 ,其中腹腔镜胆囊切除术 2 2 5例。LC +胆总管探查取石术 1 2例 ,阑尾切除术 5例 ,肠粘连松解术 4例 ,卵巢囊肿 8例 ,因局部严重粘连中转开腹 2例 ,全部病例无手术并发症。结论 :有腹部手术史的腹腔镜手术具有创伤小 ,痛者轻 ,恢复快 。
Objective:To summarize the experiences of the laparoscopy for patients with history of abdominal operation. Methods:Two hundred and fifty-six cases were performed laparosc opy, in which the pr imitive incision was avoided and the first stab was choosen, if necessary openi n g method can be used to insert the trocar, and the adhesive' tissue was disected skillfully.Results:Of the 256 cases, 254 cases were operated successfully.Among them 225 cases had laparoscopic cholecystectomy(LC), 12 cases h ad LC+laparoscopic choledochotomy with exploration, 5 cases had appendecto my, 4 cases had lysis of intestinal adhesion, 8 cases had oophorocystectomy, 2 c ases changed to laparotomy . All the patients recovered without any complication .Conclusions:The laparoscopy in the patient with history of abdominal operation has many advantages such as little suffering and injury , fast recovery, not affecting healing of incision , and so on.
出处
《中国内镜杂志》
CSCD
2003年第6期11-12,共2页
China Journal of Endoscopy
关键词
腹部手术史
胆囊切除术
腹腔镜
操作
History Of Abdominal Operation
Cholecystectomy
Lapar oscopy
