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低位汇合的
相关语句
  low positioned confluence
     CLINIC FEATURES AND SURGICAL TREATMENT OF LOW POSITIONED CONFLUENCE OF RIGHT AND LEFT HEPA- TIC DUCTS
     左右肝管低位汇合的临床特点及外科治疗
短句来源
     Obiective To explore the effective methods of diagnosis and treatment of low positioned confluence of right and left hepatic ducts.
     目的 探讨左右肝管低位汇合的有效诊治方法。
短句来源
  “低位汇合的”译为未确定词的双语例句
     The clinic meaning in low confluence of cystic duct
     胆囊管低位汇合的临床意义
短句来源
     ②bluntly dissecting the Calot triangle close to the gallbladder wall,side -viewing the common hepatic and common bile duct,transecting the cystic artery and fiber tissue around the gallbadder,all of these are mandatory toavoid transection of the common hepatic duct and right or left hepatic duct which join lowly.
     ②紧靠胆囊壁钝性分开Calot三角,侧面观察肝总管、胆总管,靠胆囊壁切断胆囊动脉和纤维组织,解剖出Calot三角,是防止处理Calot三角时造成肝总管或低位汇合的左、右肝管横断性损伤的重要方法。
短句来源
     Objective Discussing the clinic meaning which cystic duct is low confluence to CBD.
     目的 探讨胆囊管低位汇合的临床意义 ,提出对过长的胆囊管残留的重新认识。
短句来源
     Method Combining the anatomy of cystic duct,analyzing 5 cases with low confluence of cystic duct.
     方法 复习胆囊管变异的解剖 ,分析 5例胆囊管低位汇合的病例。
短句来源
  相似匹配句对
     The clinic meaning in low confluence of cystic duct
     胆囊管汇合的临床意义
短句来源
     CLINIC FEATURES AND SURGICAL TREATMENT OF LOW POSITIONED CONFLUENCE OF RIGHT AND LEFT HEPA- TIC DUCTS
     左右肝管汇合的临床特点及外科治疗
短句来源
     TRANSDUODENAL LOW CHOLEDOCHODUODENENOSTOMY
     经十二指肠胆总管十二指肠吻合术
短句来源
     Treatment Strategies of Low-set Rectal Cancer
     直肠癌的治疗对策
短句来源
     Obiective To explore the effective methods of diagnosis and treatment of low positioned confluence of right and left hepatic ducts.
     目的 探讨左右肝管汇合的有效诊治方法。
短句来源
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To study the feasible methods to prevent transecting injury of the extrahepatic bile duct (EHBD) during laparoscopic cholecystectomy (LC). Methods: ①The cystic infundibulum shoud be dissected at first. The junction of the cystyic infundibulum and cystic duct is an important anatomic marker to identify the cystic duct and prevent mistaking the EH BD for the cystic duct and transecting the EXBD.②bluntly dissecting the Calot triangle close to the gallbladder wall,side -viewing the common hepatic and common bile...

To study the feasible methods to prevent transecting injury of the extrahepatic bile duct (EHBD) during laparoscopic cholecystectomy (LC). Methods: ①The cystic infundibulum shoud be dissected at first. The junction of the cystyic infundibulum and cystic duct is an important anatomic marker to identify the cystic duct and prevent mistaking the EH BD for the cystic duct and transecting the EXBD.②bluntly dissecting the Calot triangle close to the gallbladder wall,side -viewing the common hepatic and common bile duct,transecting the cystic artery and fiber tissue around the gallbadder,all of these are mandatory toavoid transection of the common hepatic duct and right or left hepatic duct which join lowly.Results:4 transectinies injuryg of the EHBD were documented realtad to unexperience or no following the principle described. Conclusion: It is a uncontroversy principle to dissect the cystic infundibulum and then expose the junction of the cystic infundibulum and cystic duct to confirm the cystic duct- Bluntly dissecting of the Calot triangle close to the gallbladderwall is a feasible step to avoid transecting the EHBD.

目的研究腹腔镜胆囊切除术(LC)预防肝外胆管横断性损伤的可行办法。方法:①先解剖胆囊壶腹,应用胆囊壶胆与胆囊管交界部的重要解剖标志来确认胆囊管是防止将肝外胆管误认为胆囊管造成横断性损伤的关键性措施;②紧靠胆囊壁钝性分开Calot三角,侧面观察肝总管、胆总管,靠胆囊壁切断胆囊动脉和纤维组织,解剖出Calot三角,是防止处理Calot三角时造成肝总管或低位汇合的左、右肝管横断性损伤的重要方法。结果:缺乏经验或未遵循此原则本组发生横断肝外胆管4例(0.1%)。结论:LC先解剖胆囊壶腹,分出胆羹壶腹与胆囊省交界部来确认胆囊管是无可争议的技术性原则,紧靠胆囊壁钝性分出Calot三角是预防横断肝外胆管的有效方法。

Objective To present the preliminary experience in management of ectopic confluence of 1~3 grade hepatic duct.Methods Diagnosis depends on ①operative exploration via a high incision in hepatic duct(HD)for hepatolithiasis in right side,②a tranversely coursed HD has to cut down after the left hepatic duct(LHD)severed in left hepatic lobectomy(LHL),③operative or postoperative cholangiography.The inferior branch of right anterior HD(IARHD)drained in gallbladder,posterior,anterior branch of right hepatic duct(RHD)and...

Objective To present the preliminary experience in management of ectopic confluence of 1~3 grade hepatic duct.Methods Diagnosis depends on ①operative exploration via a high incision in hepatic duct(HD)for hepatolithiasis in right side,②a tranversely coursed HD has to cut down after the left hepatic duct(LHD)severed in left hepatic lobectomy(LHL),③operative or postoperative cholangiography.The inferior branch of right anterior HD(IARHD)drained in gallbladder,posterior,anterior branch of right hepatic duct(RHD)and IARHD joined the LHD,right caudal hepatic duct(CHD)drained in left CHD,anterior branch of RHD drained in LHD with split of superior and inferior branch of left lateral HD were revealed for each instance.Results The effect of lithotomy and widen the cofluence for hepatolithiasis is worse,resect the hepatic lobe or segment containing ectopic HD with stones,anastomose the ectopic HD with RHD after LHL get better result.Conclusion Pay attention to low confluence of RHD and LHD with cystic duct in cholecystectomy,to ectopic HD of RHD drained in LHD in right side hepatolithiasis,in LHL and in supplementary liver transplantation between relatives.

目的介绍1~3级肝管异位汇合诊治体会。方法诊断①合并肝管结石者经高位肝管切开探查,②肝左叶切除切断左肝管后在肝断面上需再切断横向左行的肝管,③术中、术后胆管造影。发现右前下支肝管汇入胆囊、右后支、右前支、右前下支肝管汇入左肝管,右尾叶支汇入左尾叶肝管及右前支汇入左肝管伴左外上、下支分裂各1例。结果合并肝管结石用取石和加大汇入角治疗效果不佳,切除含石的异位汇合肝管的肝叶、肝段;肝左叶切除后将异位汇合的肝管与右肝管或与空肠袢接通效果较好。结论胆囊切除需注意左、右肝管与胆囊管在同一平面低位汇合,右肝管结石,肝左叶切除,亲属间部分肝移植需注意右肝管分支异位汇入左肝管

Objective To analyze the high risk factors for which accidental injury of bile duct was prone to occur during cholecystectomy and to investigate the causes of the injury and to find the way of prevention.Methods With which 12 patients endured iatrogenic injuries of bile duct during cholecystectomy were reviewed from Junuary 1985 to July 1998 in our hospital,the high risk factors such as special gallbladder diseases or congenital abnormality of bile duct were investigated.Results There are 493 cases in which...

Objective To analyze the high risk factors for which accidental injury of bile duct was prone to occur during cholecystectomy and to investigate the causes of the injury and to find the way of prevention.Methods With which 12 patients endured iatrogenic injuries of bile duct during cholecystectomy were reviewed from Junuary 1985 to July 1998 in our hospital,the high risk factors such as special gallbladder diseases or congenital abnormality of bile duct were investigated.Results There are 493 cases in which accidental injury of the bile duct was prone to occured,in 1 of 35 cases of high positioned gallbladder,in 1 of 45 cases with low positioned confluence of the right and left hepatic ducts,in 1 of 27 cases of congenital abnomality of cystic artery,in 1 of 87 cases of atrophic cholecystitis,in 4 of 173 cases of incarcerated gallstones in neck of gallbladder,in 3 of 89 cases of Mirizzi syndrome and in 1 of 15 cases complicated with portal hypertension respectively.Conclusion In above mentioned circumstance cholecystectomy is prone to cause iatrogenic injury of the bile duct,In addition to being careful in dissection exploration of biliary tract,retrograde cholecystectomy and management of incarcerated gallstones in neck of gallbladder,we should be keep in mind with the high risk factors during cholecystectomy to reduce iatrogenic injury of the bile duct.

目的分析胆囊切除术中易发生胆管损伤的高危因素,探讨损伤的原因及预防措施。方法统计1985年1月至1998年7月行胆囊切除术时发生的12例医源性胆管损伤情况,分析与致伤有关的解剖病理因素。结果13年中行胆囊切除4854例中,易致胆管损伤的高危因素有7种共493例,其中高位胆囊35例损伤1例,左右肝管低位汇合47例损伤1例,胆囊动脉变异47例损伤1例,萎缩性胆囊炎87例损伤1例,胆囊颈结石嵌顿173例损伤4例,Mirizzi综合征89例损伤3例,伴门静脉高压症15例损伤1例。结论在上述高危情况下,行胆囊切除术者易发生医源性胆管损伤。术者应保持警惕,仔细解剖清楚,术中造影、胆道探查以及逆行胆囊切除加胆囊颈部特殊处理等有助于减少医源性胆管损伤的发生。

 
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