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
