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腹腔镜胆囊切除联合手术的应用体会
http://www.100md.com 2009年3月1日 《医学发展》 2009年第3期
     摘 要目的:探讨腹腔镜胆囊切除联合手术的临床应用价值。方法:回顾性分析25例腹腔镜胆囊切除(LC) 联合手术的临床资料,其中LC联合阑尾切除术15例, 联合肝囊肿开窗术3例, 联合腹股沟疝修补术7例。结果:25例手术均获得成功,无一例中转开腹,2例术后出现胆漏,均经非手术疗法治愈。结论:腹腔镜胆囊切除联合手术安全、有效、经济,能充分体现微创外科的优越性,值得推广。

    关键词胆囊切除术;腹腔镜;手术;联合

    Abstract Objective:To study the practical clinical value of laparo- scopic cholecystectomy (LC) combined with other laparoscopic surgery. Methods:25 cases of LC combined with other laparoscopic surgery were reviewed retrospectively.LC was combined with appendectomy in 15 cases, with fenestration of hepatic cyst in 3 cases , with herniorraphy in 7 cases.Results:Laparoscopic operations were succe- ssful in 25 cases,and no cases were converted to laparotomy . Postopera- tive bile fistula occurred in 2 cases ,all healed with conservative therapy.Conclusions:Laparoscopic cholecystectomy combined with other laparoscopicsurgery can adequately present the advantages of microsurgery by safe , effective and economical management of various abdominal diseases ,and is worthy of wideusage. ......

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