Background： Laparoscopic cholecystectomy （LC） has been a standard operation and replaced the open cholecystectomy （OC） rapidly because the technique resulted in less pain, smaller incision, and faster recovery. T...Background： Laparoscopic cholecystectomy （LC） has been a standard operation and replaced the open cholecystectomy （OC） rapidly because the technique resulted in less pain, smaller incision, and faster recovery. This study was to evaluate the value of blunt dissection in preventing bile duct injury （BDI） in laparoscopic cholecystectomy （LC）. Methods： From 2003 to 2015, LC was performed on 21,497 patients, 7470 males and 14,027 females, age 50.3 years （14-84 years）. The Calot＇s triangle was bluntly dissected and each duct in Calot＇s triangle was identified before transecting the cystic duct. Results： Two hundred and thirty-nine patients （1.1%） were converted to open procedures. The postoperative hospital stay was 2.1 （0-158） days, and cases （46%） had hospitalization days of 1 day or less, and 92.8% had hospitalization days of 3 days or less; BDI was occurred in 20 cases （0.09%） including 6 cases of common BDI, 2 cases of common hepatic duct injury, l case of fight hepatic duct injury, I case of accessory fight hepatic duct, 1 case of aberrant BDI l case ofbiliary stricture, 1 case ofbiliary duct perforation, 3 cases ofhemobilia, and 4 cases of bile leakage. Conclusion： Exposing Calot＇s triangle by blunt dissection in laparoscopic cholecystectomy could prevent intraoperative BD1.展开更多
Coronary artery dissection and acute myocar-dial infarction（AMI） after blunt chest trauma （BCT） has rarely been reported1＇2. This report describes two cases of the left anterior de-scending（LAD） artery dissecti...Coronary artery dissection and acute myocar-dial infarction（AMI） after blunt chest trauma （BCT） has rarely been reported1＇2. This report describes two cases of the left anterior de-scending（LAD） artery dissection and AMI after BCT, successfully treated with percutaneous coronary intervention （PCI） and they dis-charged without complications.展开更多
文摘Background： Laparoscopic cholecystectomy （LC） has been a standard operation and replaced the open cholecystectomy （OC） rapidly because the technique resulted in less pain, smaller incision, and faster recovery. This study was to evaluate the value of blunt dissection in preventing bile duct injury （BDI） in laparoscopic cholecystectomy （LC）. Methods： From 2003 to 2015, LC was performed on 21,497 patients, 7470 males and 14,027 females, age 50.3 years （14-84 years）. The Calot＇s triangle was bluntly dissected and each duct in Calot＇s triangle was identified before transecting the cystic duct. Results： Two hundred and thirty-nine patients （1.1%） were converted to open procedures. The postoperative hospital stay was 2.1 （0-158） days, and cases （46%） had hospitalization days of 1 day or less, and 92.8% had hospitalization days of 3 days or less; BDI was occurred in 20 cases （0.09%） including 6 cases of common BDI, 2 cases of common hepatic duct injury, l case of fight hepatic duct injury, I case of accessory fight hepatic duct, 1 case of aberrant BDI l case ofbiliary stricture, 1 case ofbiliary duct perforation, 3 cases ofhemobilia, and 4 cases of bile leakage. Conclusion： Exposing Calot＇s triangle by blunt dissection in laparoscopic cholecystectomy could prevent intraoperative BD1.
文摘Coronary artery dissection and acute myocar-dial infarction（AMI） after blunt chest trauma （BCT） has rarely been reported1＇2. This report describes two cases of the left anterior de-scending（LAD） artery dissection and AMI after BCT, successfully treated with percutaneous coronary intervention （PCI） and they dis-charged without complications.
