摘要
目的:探讨有腹部开放性手术史的患者行腹腔镜手术的经验技巧。方法:回顾性分析237例有腹部开放性手术史患者的腹腔镜手术资料。结果:237例中235例成功完成手术,其中1例因局部粘连重损伤膀胱,1例因膀胱腹膜返折处血肿中转开腹。结论:有腹部开放性手术史并非是妇科腹腔镜手术的禁忌症,合理选择病人,熟练掌握腹腔镜操作步骤及技巧是顺利完成该类手术的关键。
Objective: To summarize the experience of laparoscopy in gynecology patients with past abdominal operation. Methods: Retrospectively review laparoscopy operation information of 237 cases with past abdominal operation. Results: In the 237 gynecology patients with past abdominal operation , 235 accomplished with lapaoscopy unevenfully, 2 cases were changed to open laparotomy because of the injury of bladder , and the other injury of the peritoneum and urocyst sturn back. Conclusion: Patients with past abdominal operation can benefit from lapaoscopy. Right steps and skills are keys to successful operations.
出处
《中国妇幼保健》
CAS
北大核心
2007年第14期1973-1974,共2页
Maternal and Child Health Care of China
关键词
腹部
手术
腹腔镜
past abdominal operation
lapaoseopy
technique