急性结石性胆囊炎腹腔镜手术252例
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钟 华, 张宗明, 宿砚明
腹腔镜胆囊切除术;胆囊结石并急性胆囊炎;并发症,钟华,张宗明,宿砚明,通讯作者:,电话:, 传真:,收稿日期:,接受日期:,Laparosco
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钟华, 张宗明, 宿砚明, 清华大学第一附属医院消化医学中心普外科 北京市 100016
通讯作者: 钟华, 100016, 北京市朝阳区酒仙桥一街坊6号, 清华大学第一附属医院消化医学中心普外科.
zhonghuabeijing@yahoo.com.cn
电话: 010-64372362 传真: 010-64361322
收稿日期: 2006-03-03 接受日期: 2006-03-29
Laparoscopic cholecystectomy for acute calculous cholecystitis: an analysis of 252 cases
Hua Zhong, Zong-Ming Zhang, Yan-Ming Su
Hua Zhong, Zong-Ming Zhang, Yan-Ming Su, Department of General Surgery, Center of Digestive Medicine, the First Affiliated Hospital of Tsinghua University, Beijing 100016, China
Correspondence to: Hua Zhong, Department of General Surgery, Center of Digestive Medicine, the First Affiliated Hospital of Tsinghua University, 6 Yijiefang Jiuxianqiao, Chaoyang District, Beijing 100016,China. zhonghuabeijing@yahoo.com.cn
Received: 2006-03-03 Accepted: 2006-03-29
Abstract
AIM: To investigate the key points of laparoscopic cholecystectomy (LC) in the treatment of acute calculous cholecystitis.
METHODS: The data of 252 patients with acute calculous cholecystitis admitted in our hospital from October 1995 to October 2005 were retrospectively analyzed.
RESULTS: After carefully dissecting Calot triangle, separating and cutting off the cystic artery near gallbladder, and stopping bleeding using electrocoagulation combined with titanium clamps, 244 patients were successfully cured by LC. Meanwhile, 8 cases were shifted from LC into open cholecystectomy due to gallbladder cancer, immense ulcer on the globe part of duodenum, Mirizzi syndrome, the serious conglutination of bile duct and the ampulla part of gallbladder, the closed conglutination between duodenum and gallbladder, and the formation of inner fistula other than the reasons of haemorrhage and bile duct injuries outside the liver. Complications such as biliary leakage or haemorrhage in abdominal cavity were not detected after the operation ......
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