摘要
报告1991年9月～12月应用电视腹腔镜胆囊切除104例体会。104例中3例因胆囊周围重度粘连,另1例合并肝血管瘤改为常规手术。手术适应证除强调患者的全身情况外,胆囊息肉(直径不超过1.0cm),慢性结石性胆囊炎,慢性结石性胆囊炎急性发作很容易得到控制,只要排除胆总管结石,均应首选腹腔镜胆囊切除。术中要求保持充分的腹肌松弛,正确、准确地解剖出胆囊三角区,避免意外损伤。本手术的优点是创伤小,术后疼痛轻,恢复快,住院时间短。
From September to December in 1991, 104 laparoscopic cholecystectomies (LC; were done for cholelithiasis. There were four failures owing to extensive adhesions in 3, and liver heman-gioma in 1. We believe that LC should be the treatment of choice for the patients with gallbladder polyps, chronic cholecystitis, acute exacerbation of chronic colecystitis with stones and rapidity, subsidence of the symptoms. During LC, it is important to keep abdominal muscles fully relaxed, and to dissect the calot triangle of the gallbadder meticulously, avoiding injury to the surrounding tissue ane organs. This new type of cholecystectomy is characterized by less trauma and speedy postoperative recovery.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
1992年第6期437-439,共3页
Medical Journal of Chinese People's Liberation Army
关键词
腹腔镜检
胆结石
胆囊切除
Laparoscopy
Cholecystectomy
Gallstone
