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HemOlock结扎夹用于腹腔镜胆囊切除术的临床体会
http://www.100md.com 《腹腔镜外科杂志》 2006年第5期
HemOlock,结扎夹;胆囊切除术,腹腔镜;手术时间;中转率,,HemOlock,结扎夹;胆囊切除术,腹腔镜;手术时间;中转率,HemOlock结扎夹用于腹腔镜胆囊切除术的临床体会
     【摘要】 目的:探讨腹腔镜胆囊切除术(LC)缩短手术时间降低中转率的方法。方法:对2004年6月~2006年6月所完成的LC病例,根据胆囊管胆囊动脉结扎材料和方式的不同进行分组对照研究。结果:观察组与对照组在手术时间中转率相比有差异有显著性(P<0.05)。术后观察组未出现近远期并发症,对照组出现1例胆漏,术后20h腹腔镜下探查,行胆囊管残端结扎,腹腔引流治愈。结论:HemOlock 结扎夹运用于LC,能缩短手术时间,降低中转率,操作简单易行,具有临床运用推广价值。

    【关键词】 HemOlock 结扎夹;胆囊切除术,腹腔镜;手术时间;中转率

    Clinical analysis of HemOlock ligating clip used in laparoscopic cholecystectomy

    HE Jianfeng,TANG Yong.

    Chongqing Qianjiang Central Hospital,Chongqing 409000,China

    【Abstract】 Objective:To explore a method to shorten operating time and to lower conversive rate of laparoscopic cholecystectomy(LC).Methods:The clinical data of the patients underwent LC used different cystic duct and artery ligation stuff and methods in our hospital from June 2004 to June 2006 was analysed.Results:Operating time and conversive rate between observative group and control group has significant deviation(P<0.05).Patients in the observative group recovered without any complications while one patient in the control group who complicated with bile leakage was cured through laparoscopic exploration,ligation of the remnant cystic duct,and abdominal drainage 20h after the operation.Conclusions:HemOlock ligating clip can shorten operating time and lower conversive rate with very simple operation,and thus can be wildly used in LC. ......

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