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laparoscopic cholecystectomy lc
相关语句
  相似匹配句对
     Laparoscopic Cholecystectomy
     腹腔镜胆囊切除术
短句来源
     LAPAROSCOPIC CHOLECYSTECTOMY IN CHILDREN.
     小儿胆石症的腹腔镜治疗
短句来源
     cholecystectomy;
     胆囊切除术;
短句来源
     (2) Laparoscopic cholecystectomy (LC).
     腹腔镜胆囊切除术 (LC) ;
短句来源
     LAPAROSCOPIC CHOLECYSTECTOMY FOR ACUTE CALCULOUS CHOLECYSTITIS
     腹腔镜治疗急性结石性胆囊炎临床分析
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  laparoscopic cholecystectomy lc
Objective: To evaluate the benefit of intraoperative ERCP and endoscopic sphincterotomy (EST) combined with laparoscopic cholecystectomy (LC) in the treatment of cholelithiasis with choledocholithiasis.
      
Both infants, who remained symptomatic, underwent modified laparoscopic cholecystectomy (LC).
      
Data from large adult experiences indicate that the risk of bile duct injury, although small, is greater with laparoscopic cholecystectomy (LC) than open cholecystectomy.
      
Laparoscopic cholecystectomy (LC) is the treatment of choice for uncomplicated symptomatic gallstones.
      
Various strategies have been proposed for the treatment of common bile duct stones encountered during laparoscopic cholecystectomy (LC).
      
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This paper reports the experience of our performing 120 laparoscopic cholecystectomy (LC) from January to Novermber 1992 in our hospital. The arterial blood gas measurement was taken before and after peritoneal CO, . insufflation and at intervals during LC in 30 of the 120 patients. LC was performed successfully in 111 cases. Conversion to open cholecvstectomv occureed in 9 cases (9.5%). The complication rate was 6.1% . The death rate was 0. 89% in this group. In the condition of...

This paper reports the experience of our performing 120 laparoscopic cholecystectomy (LC) from January to Novermber 1992 in our hospital. The arterial blood gas measurement was taken before and after peritoneal CO, . insufflation and at intervals during LC in 30 of the 120 patients. LC was performed successfully in 111 cases. Conversion to open cholecvstectomv occureed in 9 cases (9.5%). The complication rate was 6.1% . The death rate was 0. 89% in this group. In the condition of peritoneal insufflation of CO2 , the hypercapnia may occure in some patients.espe -cially in aged ones. we discussed the indication of LC,how to predict the difficulty of this operation preoperatively,the practical value of this procedure in aged patients and the patients with cardio-pulmonary disease, as well as the prevention and treatment of complications.

总结我院1992年1~11月施行腹腔镜胆囊切除术120例经验,其中30例术前、术中及术后进行动脉血气介析。治疗结果示手术成功111例,中转开腹手术9例(7.5%),并发症发生率6.7%,死亡率089%,气腹状态可致不同程度高碳酸血症且多见老年患者,作者重点讨论适应症,如何术前判断手术难易度,本术式对高龄和伴发心肺疾病患者的应用价值和并发症的防治。

AbstractTwelve patients with iatrogenic bile duct injuriesoccurred during laparoscopic cholecystectomy(LC)were treated from June 1992 to May 1994.All the pa-tients underwent re-operation and were cured. Thecauses and characteristics of the inlurieswere:(1)per-foration of the common hepatic or common bile ductcaused by dissecting hook(3 cases );( 2 ) necrosis andperforation of the common hepatic duct due to diather-mic injury(1 case);(3)clamping of the common hep-atic duct by Ti clip(1 case);(4)secondary...

AbstractTwelve patients with iatrogenic bile duct injuriesoccurred during laparoscopic cholecystectomy(LC)were treated from June 1992 to May 1994.All the pa-tients underwent re-operation and were cured. Thecauses and characteristics of the inlurieswere:(1)per-foration of the common hepatic or common bile ductcaused by dissecting hook(3 cases );( 2 ) necrosis andperforation of the common hepatic duct due to diather-mic injury(1 case);(3)clamping of the common hep-atic duct by Ti clip(1 case);(4)secondary high bileduct stricture following a failed end-to-end anastornosisor hepatico-cholangio-jejunostcmy of the amputatedcommon hepatic duct(5 cases );(5)delayed high bileduct stricture( 2 cases ).It is emphasized that theseveritv of bile duct inluries bv LC be should not over-looked,and more experience in this field be accumulat-ed to avoid this serious complication.

作者自1992年6月~1994年5月治疗腹腔镜胆囊切除术(LC)并发的胆管损伤及高位胆管狭窄12例,均经手术治愈。根据其损伤原因及特征分为以下六种类型:(1)LC术中因电凝切割钩引起肝总管或胆总管穿孔(3例);(2)LC术中胆囊管残瑞钛夹导电致胆囊肝总管坏死穿孔(1例);(3)钛夹止血时钳夹肝总管致高位狭窄(1例);(4)胆总管损伤后行胆管吻合继发肝总管高位狭窄(2例);(5)LC中胆总管横断后,行肝总管空肠吻合术后吻合口狭窄(3例),再次手术切开左右肝管,行肝胆管空肠再吻合;(6)LC术后延迟性高位胆管狭窄(2例)。作者对胆管损伤的预防措施及治疗方法进行了讨论,并强调LC胆管损伤严重性和进一步提高认识并积累经验的必要性。

The paper reports a comparison between 400 case of traditionally open cholecystectomy(OC group)and 400 case of laparoscopic cholecystectomy(LC group).The patients'condition of sex and age was similar in two group.But there are more patients in OC group who had complicatedly pathological changes and difficult problem. The results showed that as compared with OC group,the number of patients who needed analgesic decreased remarkably;the average time of bowel sound recovery and passing flatus...

The paper reports a comparison between 400 case of traditionally open cholecystectomy(OC group)and 400 case of laparoscopic cholecystectomy(LC group).The patients'condition of sex and age was similar in two group.But there are more patients in OC group who had complicatedly pathological changes and difficult problem. The results showed that as compared with OC group,the number of patients who needed analgesic decreased remarkably;the average time of bowel sound recovery and passing flatus was 19 hours earlier;average time of beginning food intake one day earlier;hospitalization days 2 days short;there was no uncomfortableness due to cicatricial contracture in LC group.There was the similar incidence of complication in two groups.But the complications were more serious in LC group than in OC group.These suggest that in addition to strengthening laparoscopic technique iraning an appropriate choice of LC indication with paying attention to prevention of serious complication will enable LC to show superiority.

经腹腔镜胆囊切除(LC)和传统开腹胆囊切除(OC)各400例的对比分析,两组病例基本情况相近,OC组病理复杂的困难病例较多。结果表明LC组与OC组相比术后需用止痛剂者明显减少,平均肠鸣恢复和肛门通气早19h,进食时间早一天,住院时间短2天,无切口疤痕收缩不适与牵拉感。两组总的并发症相近,但严重并发症LC组高于OC组。提示除加强LC组的技术训练外,恰当选择适应证、注意预防严重并发症才能更好地发挥LC的优越性。

 
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