| 左肋缘下闭式气腹技术在腹腔镜胆囊切除术中的临床应用（附37例报告） |
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| 引用本文： | 万正东,蔡立智,李清林,邓黎. 左肋缘下闭式气腹技术在腹腔镜胆囊切除术中的临床应用（附37例报告）[J]. 长江大学学报, 2009, 6(3): 26-27 |
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| 作者姓名： | 万正东 蔡立智 李清林 邓黎 |
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| 作者单位： | 长江大学临床医学院;长江大学临床医学院医院荆州市第一人民医院外科; |
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| 摘 要： | 目的:探讨左肋缘下闭式气腹技术在腹腔镜胆囊切除术中应用的安全性和可行性。方法:回顾性分析因胆囊结石行腹腔镜胆囊切除术37例患者的临床资料。结果:左肋缘下闭式气腹技术成功36例,成功率97%(仅1例因左上腹疤痕而转为脐缘下穿刺气腹技术),平均气腹穿刺时间3min,术中穿刺口出血1～3ml。1例患者因左上腹大网膜与前腹壁粘连有较轻的大网膜挫伤,未见有其它脏器损伤,无手术死亡病例发生。结论:左肋缘下闭式穿刺气腹技术安全、可靠,能作为腹腔镜胆囊切除手术一种可替代的气腹技术。
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| 关 键 词： | 左肋缘下 气腹技术 腹腔镜胆囊切除术 |
Clinical Application of Closed Approach of Creating a Pneumoperitoneum at Left Subcostal in Laparoscopic Cholecysetectomy(37 Cases Report) |
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| WAN Zheng-dong Cai Li-zhi,Li Qing-lin,Deng li. Clinical Application of Closed Approach of Creating a Pneumoperitoneum at Left Subcostal in Laparoscopic Cholecysetectomy(37 Cases Report)[J]. Journal of Yangtze University, 2009, 6(3): 26-27 |
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| Authors: | WAN Zheng-dong Cai Li-zhi Li Qing-lin Deng li |
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| Affiliation: | Clinic Medical School of Yangtze University;Jingzhou 434000;China;Department of general surgery;Clinical medical school of Yangtze university;the First Hospital of Yangtze University;China |
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| Abstract: | Objective:To investigate the safety and feasibility of creating a pneumoperitoneum at left subcostal in laparoscopic cholecysetectomy.Methods:A total of 37 laparoscopic cholecysetectomy procedures performed at one practice from 2007 to 2008 were reviewed.Results:The left subcostal closed approach was successful in 36 patients(97%)(1 casewas not completed due to left subcostal surgical scars).An omental contunding in one patient was the only complication.Average puncturing time was 3min,postoperative bleedin... |
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| Keywords: | Left subcostal Pneumoperitoneum Laparoscopic cholecystectomy |
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