腹腔镜联合手术

Combined laparoscopic operation

目的:探讨腹腔镜联合手术的可行性和优越性。方法:回顾分析2003年1月至2004年12月59例行腹腔镜联合手术患者的临床资料。结果:59例腹腔镜联合手术包括腹腔镜胆囊切除+阑尾切除19例;阑尾切除+子宫和(或)附件切除18例;胆囊切除+肝囊肿开窗引流11例;胆囊切除+子宫和(或)附件切除8例;阑尾切除+腹腔淋巴结活检2例;胆囊切除+妇科盆腔手术+阑尾切除术1例。58例成功,1例中转开腹,成功率98.3%(58/59),无并发症发生。结论:在严格掌握手术指征的前提下,腹腔镜联合手术效果确切、可行。

Objective ：To explore the feasibility and advatanges of combined laparoscopic operation. Methods：59 cases of combined laparoscopic operation were performed during the past two years and the results were analyzed in terms of indications, operation skills and complications. Results：These groups of surgery include 19 cases of laprascopic cholecystectomy and appendectomy;18 cases of laprascopic cholecystectomy and hysterectomy or salpingophorectomy; 11 cases of laprascopic cholecystectomy and fenestration of liver cyst ;8 cases of laprascopic appendectomy and hysterectomy or salpingophorectomy ;2 cases of laprascopic appendectomy and lymphoid biopsy; 1 case of cholecystectomy and gynaccological operation and appendectomy. Among them, only 1 case was converted to laparotomy and no complications were found. Conclusions：Combined laparoscopic operation are efficient as long as the indications are confirmed and operation skills are guaranteed.