期刊文献+

困难胆囊腹腔镜手术方法及技巧总结

下载PDF
导出
摘要 目的总结困难胆囊腹腔镜手术方法及技巧。方法选取88例困难胆囊腹腔镜手术患者作为研究对象,回顾性分析患者的临床资料,根据患者实际情况实施具有针对性的胆囊腹腔镜手术操作。观察手术情况,统计临床相关指标、并发症发生情况及患者满意度。结果本组患者均行胆囊腹腔镜手术成功,手术时间基本控制在3 h以内,无一例中转开腹手术,无发生术中胆道损伤者。本组患者术后出现腹部剧烈疼痛者2例(2.23%)、术后出现明显腹胀者3例(3.40%)、术后出现腹壁Trocar孔出血1例(1.14%)、术后出现切口感染者1例(1.14%)。本组患者的满意度达到了95.45%(84/88)。结论困难胆囊腹腔镜手术的总体效果较好、术后并发症较少、患者满意度较高,根据患者的实际情况实施具有针对性的胆囊腹腔镜手术操作并把握好相关手术技巧是改善预后的关键。
作者 赵文博
出处 《中国实用医药》 2020年第26期59-61,共3页 China Practical Medicine
  • 相关文献

参考文献10

二级参考文献72

  • 1Eduardo M Targarona,Edgar Mauricio Maldonado,Jose Antonio Marzol,Franco Marinello.Natural orifice transluminal endoscopic surgery:The transvaginal route moving forward from cholecystectomy[J].World Journal of Gastrointestinal Surgery,2010,2(6):179-186. 被引量:4
  • 2Qiwei,Lai-GenShen,He-MingZheng.Hand-assisted laparoscopic surgery for complex gallstone disease: A report of five cases[J].World Journal of Gastroenterology,2005,11(21):3311-3314. 被引量:12
  • 3鲜耀国,刘飞飞,权王顺.腹腔镜胆囊切除术中止血体会[J].腹腔镜外科杂志,2006,11(2):172-172. 被引量:4
  • 4Polychronidis A, Laftsidis P, Bounovas A, et al. Twenty years of laparoscopic Cholecystectomy : Philippe Mouret- March 17,1987 [ J ]. JSLS,2008,12( 1 ) :109-111.
  • 5Dong HY, Wang YL, Li J, et al. New-style laparoscopie and endoscopic cooperative surgery for gastric stromal tumors[ J]. World J Gastroenterol, 2013,19 ( 16 ) : 2550 - 2554.
  • 6Bates AT, Divino C. Laparoscopic surgery in the elderly: a review ofthe iterature[ J]. Aging Dis,2015,6(2) : 149-155.
  • 7McGinnis DE, Strup SE, Gomella LG. Management of hemorrhageduring laparoscopy[ J]. J Endourol,2000,14(10) :915-920.
  • 8Tangjaroen S, Watanapa P. Unclosed fascial defect: is it the risk to develop port-site hernia after laparoscopic cholecystectomy?[J]. J Med Assoc Thai, 2014, 97(2):191-194.
  • 9Sulpice L, Garnier S, Rayar M, et al. Biliary cirrhosis and sepsis are two risk factors of failure after surgical repair of major bile duct injury post-laparoscopic cholecystectomy[J]. Langenbecks Arch Surg, 2014, 399(5):601-608.
  • 10Haltmeier T, Benjamin E, Inaba K, et al. Early versus delayed same-admission laparoscopic cholecystectomy for acute cholecystitis in elderly patients with comorbidities[J]. J Trauma Acute Care Surg, 2015, 78(4):801-807.

共引文献250

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部