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Results Preoperative diagnostic rate was53.6%,and operative resection rate was71.4%,simple cholecystectomy in6cases,cholecystectomy and exploration of the biliary passage in4cases,gallbladder and regional lymphadonectomy in2cases,gallbladder and liver wedge resection and regional lymphadonectomy in6cases,gallblad-der and liver wedge resection and regional lymphadonectomy and right hemicolectomy in1case,and gallbladder and liver wedge resection and regional lymphadonectomy and subtotal gastrectomy and right hemicolectomy in1case.Unre-sectable rate were28.6%,gastro-jejunostomy in2cases,cholecystostomy in1case.Laparotomy exploration only in5cases.
结果 术前确诊率仅为53.6%(15/28),手术切除率为71.4%(20/28),单纯胆囊切除术6例(占21.4%),胆囊切除+总胆管探查4例(占14.3%),胆囊切除+区域淋巴结清扫2例(占7.1%),胆囊+肝楔状切除+区域淋巴结清扫6例(占21.4%),胆囊+肝楔状切除+区域淋巴结清扫+右半结肠切除1例(占3.6%),胆囊+肝楔状切除+区域淋巴结清扫+胃大部切除+右半结肠切除1例(占3.6%),未切除率为28.6%,胃-空肠吻合术2例(占7.1%),胆囊造瘘1例(占3.6%),仅做剖腹探查术5例(占17.9%)。
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Results:Seventysix cases were successfully performed LC,three cases were Mirizzi syndrome type Ⅰ,and one case was converted to open surgery because of gallbladdercolon fistula and gallbladderright hepatic duct fistula,and one was converted to choledocholithotomy with Ttube drainage because of Mirizzi syndrome combined with injury of common bile duct.
结果:76例顺利完成LC,其中3例为Mirizzi综合征Ⅰ型;1例因合并胆囊结肠漏、胆囊右肝管漏中转开腹,另1例为Mirizzi综合征Ⅱ型,术中胆总管损伤中转手术行胆总管对端吻合&T&管支撑引流术。
- 更多网络解释与胆囊结肠吻合术相关的网络解释 [注:此内容来源于网络,仅供参考]
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cholecystocolostomy:胆囊结肠吻合术
cholecystocele 胆囊囊肿 | cholecystocolostomy 胆囊结肠吻合术 | cholecystocolotomy 胆囊结肠切开术
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cholecystocolotomy:胆囊结肠切开术
cholecystocolostomy 胆囊结肠吻合术 | cholecystocolotomy 胆囊结肠切开术 | cholecystoduodenostomy 胆囊十二指肠吻合术