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《东京指南》指导下的急性胆囊炎腹腔镜胆囊切除术 被引量:21

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摘要 腹腔镜胆囊切除术(1aparoscopic cholecystectomy,LC)已成为治疗慢性胆囊炎的“金标准”。由于对诊断标准和治疗时机缺乏共识,LC用于治疗急性胆囊炎(acute cholecystitis,AC)存在争论。《东京指南》确立并规范了AC诊断、分级和治疗策略[1-4]。我们应用该指南对212例AC实施并完成LC,获得较好疗效,报道如下。
出处 《中华普通外科杂志》 CSCD 北大核心 2013年第1期68-69,共2页 Chinese Journal of General Surgery
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  • 1Takada T,Kawarada Y,Nimura Y. Background:Tokyo Guidelines for the management of acute cholangitis and cholecystitis[J].Journal of Hepato-Biliary-Pancreatic Surgery,2007.1-10.
  • 2Miura F,Takada T,Kawarada Y. Flowcharts for the diagnosis and treatment of acute cholangitis and cholecystitis:Tokyo Guidelines[J].Journal of Hepato-Biliary-Pancreatic Surgery,2007.27-34.
  • 3Hirota M,Takada T,Kawarada Y. Diagnostic criteria and severity assesment of acute cholecystitis:Tokyo Guidelines[J].Journal of Hepato-Biliary-Pancreatic Surgery,2007.78-82.
  • 4Mayumi T,Takada T,Kawarada Y. Results of the Tokyo Consensus Meeting Tokyo Guidelines[J].Journal of Hepato-Biliary-Pancreatic Surgery,2007.114-121.
  • 5Casillas RA,Yegiyauts S,Collins JC. Early laparoscopic cholecystectomy is the preferred management of acute cholecystitis[J].Archives of Surgery,2008.533-537.
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  • 7Horiuchi A,Watanabe Y,Doi T. Delayed laparoscopic subtotal cholecystectomy in acute cholecystitis with severe fibrotic adhesions[J].Surgical Endoscopy,2008,(12):2720-2723.doi:10.1007/s00464-008-9879-y.

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