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胃大部切除术后腹腔镜胆囊切除术 被引量:1

LAPAROSCOPIC CHOLECYSTECTOMY IN PATIENTS UNDERGOING GASTRECTOMY
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摘要 腹腔镜胆囊切除术开展初期,上腹部既往有手术史的病人被列为相对禁忌症。我院所总结的580例LC中,有13例过去做过胃大部切除术。我们采用了Veress或Hasson法,建立气腹,用电凝钩贴近腹膜锐性分离,操作中宁伤腹膜,勿伤肠管,分离至Calot三角,仍然粘连紧密,应及时中转开腹。全组病人平均手术时间1小时。手术顺利,术后1周左右均痊愈出院。 The purpose of this study was to confirm that the patients who have ever had gastrectomy can also be performed by laparoscopic cholecystectomy. We have 13 patients gastrectomy among the 580 laparoscopic cholecystectomies,with gastrectomy.The peritoneal was made by Veress or Hasson way. In the operation,we used electrical hook to dissect the adhesion only. All the 13 cases underwent LC successfully. The average operation time was 1 hour. Most patients could take a walk next morning,and be discharged in a week. The procedure is safe and has less blood loss.
出处 《肝胆外科杂志》 1998年第2期94-95,共2页 Journal of Hepatobiliary Surgery
关键词 腹腔粘连 腹腔镜 胆囊切除术 Peritoneal Adhesion LC
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同被引文献13

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  • 2Beat Schnüriger,Galinos Barmparas,Bernardino C. Branco,Thomas Lustenberger,Kenji Inaba,Demetrios Demetriades.Prevention of postoperative peritoneal adhesions: a review of the literature[J].The American Journal of Surgery.2011(1)
  • 3Metin Ercan,Erdal Birol Bostanci,Murat Ulas,Ilter Ozer,Yusuf Ozogul,Canbek Seven,Fuat Atalay,Musa Akoglu.Effects of Previous Abdominal Surgery Incision Type on Complications and Conversion Rate in Laparoscopic Cholecystectomy[J].Surgical Laparoscopy Endoscopy & Percutaneous Techniques.2009(5)
  • 4Kazuyuki Kojima,Hiroyuki Yamada,Mikito Inokuchi,Tatuyuki Kawano,Kenichi Sugihara.Functional evaluation after vagus nerve–sparing laparoscopically assisted distal gastrectomy[J].Surgical Endoscopy.2008(9)
  • 5Akira Sasaki,Jun Nakajima,Hiroyuki Nitta,Toru Obuchi,Shigeaki Baba,Go Wakabayashi.Laparoscopic cholecystectomy in patients with a history of gastrectomy[J].Surgery Today.2008(9)
  • 6Chang Hak Yoo MD,Byung Ho Sohn MD,Won Kon Han MD,Won Kil Pae MD.Proximal Gastrectomy Reconstructed by Jejunal Pouch Interposition for Upper Third Gastric Cancer: Prospective Randomized Study[J].World Journal of Surgery.2005(12)
  • 7T. Mussack,T. Fischer,R. Ladurner,A. Gangkofer,S. Bensler,K. K. Hallfeldt,M. Reiser,A. Lienemann.Cine magnetic resonance imaging vs high-resolution ultrasonography for detection of adhesions after laparoscopic and open incisional hernia repair: a matched pair pilot analysis[J].Surgical Endoscopy.2005(12)
  • 8张寰,刘国礼.胃大部切除术后的腹腔镜胆囊切除术[J].中华普通外科杂志,1998,13(3):185-186. 被引量:26
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