• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Fundus-first laparoscopic cholecystectomy.
【24h】

Fundus-first laparoscopic cholecystectomy.

机译：眼底首次腹腔镜胆囊切除术。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Removal of the gallbladder with commencement of dissection at the fundus is well recognized as a safe technique during difficult "open" cholecystectomy because it minimizes the risks of damage to the structures in or around Calot's triangle. We report here the routine employment of liver retractors and fundus-first dissection during laparoscopic cholecystectomy (LC) as an alternative to techniques previously described. Retraction of the liver and "fundus-first" dissection was used in 53 patients who underwent laparoscopic cholecytectomy. There were 16 male and 37 female patients. Seven were operations performed during an acute admission and 20 had moderate or severe adhesions involving the gallbladder. Thirteen patients had a preexisting abdominal incision. The procedure was successful in 52 patients (98%), but in one patient it was converted to open operation because of dense adhesions. Median duration of operation was 90 min (range 35-240 min). There was no mortality and two complications (persistentright upper quadrant pain for 2 weeks after operation and bile leakage from the gallbladder bed). The facility to retract the liver and carry out a fundus-first dissection extends techniques developed for "open" surgery into the laparoscopic arena. It offers the surgeon the safety and versatility during laparoscopic cholecystectomy that it confers during conventional open surgery.
机译：在困难的“开放式”胆囊切除术中，将胆囊从眼底开始切除，是公认的安全技术，因为它可以最大程度地减少对Calot三角形或其周围结构的损害风险。我们在这里报告在腹腔镜胆囊切除术（LC）期间常规使用肝牵开器和眼底优先解剖术，以替代先前描述的技术。对53例行腹腔镜胆囊切除术的患者进行了肝脏退缩和“眼底优先”解剖。男16例，女37例。有7例在急性入院期间进行，有20例涉及胆囊的中度或重度粘连。 13例患者已有腹部切口。该手术在52例患者中（98％）成功，但在1例患者中，由于粘连致密，该手术转为开放手术。中位手术时间为90分钟（范围35-240分钟）。没有死亡和两个并发症（术后2周持续的右上腹疼痛和胆囊床胆汁漏出）。收回肝脏并进行眼底优先解剖的设施将为“开放式”手术开发的技术扩展到了腹腔镜领域。它为外科医生在常规开放式手术中所提供的腹腔镜胆囊切除术中提供了安全性和多功能性。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号