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The use of laparoscopic subtotal cholecystectomy for complicated cholelithiasis

机译:腹腔镜胆总管切除术在复杂性胆石症中的应用

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摘要

The risk of damage to the bile duct and structures in the hilum of the liver is significant when Calot’s triangle cannot be safely dissected during laparoscopic cholecystectomy, and conversion to an open procedure often is performed. This is more common during emergency surgery, but may not render the procedure any easier. Traditionally, open subtotal cholecystectomy was performed, but with the advent of laparoscopic surgery, this has fallen from favor. The authors report their experience using laparoscopic subtotal cholecystectomy to avoid bile duct injury and conversion in difficult cases.
机译:如果在腹腔镜胆囊切除术中无法安全地解剖卡洛特三角形的情况下,损坏肝门和胆管结构的风险非常大,那么通常要进行开放手术。这在急诊手术中更为常见,但可能不会使手术变得更容易。传统上,进行开腹全切胆囊切除术,但是随着腹腔镜手术的出现,这已不再受欢迎。作者报告了他们在腹腔镜下进行全切胆囊切除术以避免在困难病例中胆管损伤和转化的经验。

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