剖腹手术

The uncovered tracts and the liver wound surface were managed by some of the methods combined such as high frequency electrocoagulation, titanium clamp, suture, hemostatic gauze oppression, argon-beam coagulation, protein glue adherence, and Endo-GIA switcher. The total operative outcome, operating time, blood loss, postoperative complications and postoperative hospital stay were summarized in order to assess feasibility and safety of the clinical laparoscopic liver resection.Results: 1. Laparoscopic liver resection with clamp dissection method needs only the ordinary laparoscopic equipment. It has a low cost but causes a little more bleeding. 2. Laparoscopic liver resection operated by microwave tissue coagulation method had very little bleeding when dissecting hepatic parenchyma. The operative field is clear and the cost is low. It is a safe, convenient and effective method. 3. Ultrasound dissector is a relatively ideal appliance for laparoscopic liver resection at present because ofless bleeding during operation. But the speed is slow thus prolongs the operation time. Its separating intensity is not strong enough, and it can only be applied to patients without hepatic cirrhosis. 4. Ligsure has clamp dissection and electrocoagulation functions. It can carbonize hepatic tissue including the tracts whose diameters are less than 7mm. It has some advantage in dissecting. However, it has the shortcomings of the clamp dissector during coagulating. 5. Hand-assisted laparoscopic liver resection can make use of the flexibility and feeling of the operators left hand.

结果：1、钳夹分离切肝法不需特殊仪器设备，只要具备常规的腹腔镜器械即可实施，成本低，肝断面较易渗血；2、微波固化切肝法肝实质出血很少，视野清晰，成本低，操作简单，是一种安全、简便、有效的方法；3、超声刀是目前较为理想的切肝器械，术中出血少，但是，切割速度慢，手术时间长，而且，切割强度有限，适用于无肝硬化的肝切除；4、Ligsure具有挤压粉碎及高频电凝止血两大功能，可使包括7~以下管道的肝组织碳化、形成焦痴，具有一定的优势，但是，也存在分离钳电凝止血的缺点；5、手辅助腹腔镜肝切除可以利用术者左手的灵活性及手感，便于术中显露、分离、控制出血等，可随意协助右手及助手的主要操作，缩短了手术时间，大大提高了腹腔镜肝切除的安全性，李朝龙等的改良方法，同样达到了手辅助目的，又节省了费用；6、小切口腹腔镜辅助切肝法可以使用剖腹肝切除常规器械及剖腹肝切除技术，操作简单、可靠，适用于肝左外叶切除及右肝第V段切除；7、Endo一GIA切肝法在离断肝组织的同时闭合管道结构，多用于肝左静脉、门静脉分支、管径较大胆管的切割，缺点是不能用于较厚肝组织的切割，而且价格昂贵；8、临床巧例腹腔镜肝切除均获得成功，手术时间最短1.5h，最长sh，平均125 min，多数在100 min左右，手术出血量最少50 ml，最多500 ml，平均1 78 ml，除2例合并严重肝硬化的原发性肝癌患者术后出现少量腹水，1例术后发生胆漏外，其余无并发症，发生胆漏的1例患者术后住院40d，多数在术后一周左右出院，术后住院时间5一40d，平均gd。

In most cases, the diagnoses were based on the histopathologic examination of tissue obtained via laparotomy (7 patients, including 3 for failed medical treatment of pelvic inflammatory disease, 3 with assumed mucinous ovarian tumors, and 1 with an ovarian tumor) or peritoneoscopy (6 patients); cytologic examinations diagnosed TB for the others (3 patients).

大多数病例的诊断是基于剖腹手术（7例，包括3例按盆腔感染治疗失败的病人，3例怀疑粘连性卵巢肿瘤病人和1例怀疑卵巢肿瘤的病人）或腹腔镜（6例）所获取组织的病理学检查，另外3例的诊断是根据细胞学检查诊断TB的。10例病人中，4例先前有肺TB，3例子宫内膜TB。

In most cases, the diagnoses were based on the histopathologic examination of tissue obtained via laparotomy (7 patients, including 3 for failed medical treatment of pelvic inflammatory disease, 3 with assumed mucinous ovarian tumors, and 1 with an ovarian tumor) or peritoneoscopy (6 patients); cytologic examinations diagnosed TB for the others (3 patients).

大部分数病例的诊断是基于剖腹手术（7例，包括3例按骨盆内部空腔感染治疗掉败的病人，3例怀疑粘连性卵巢肿瘤病人和1例怀疑卵巢肿瘤的病人）或腹腔镜（6例）所获取组织的病理学检查，另外3例的诊断是根据细胞学检查诊断TB的。10例病人中，4例先前有肺TB，3例子宫内膜TB。

In most cases, the diagnoses were based on the histopathologic examination of tissue obtained ia laparotomy (7 patients, including 3 for failed medical treatment of pelic inflammatory disease, 3 with assumed mucinous oarian tumors, and 1 with an oarian tumor) or peritoneoscopy (6 patients); cytologic examinations diagnosed TB for the others (3 patients).

大多数病例的诊断是基于剖腹手术（7例，包括3例按盆腔感染治疗失败的病人，3例怀疑粘连性卵巢肿瘤病人和1例怀疑卵巢肿瘤的病人）或腹腔镜（6例）所获取组织的病理学检查，另外3例的诊断是根据细胞学检查诊断TB的。10例病人中，4例先前有肺TB，3例子宫内膜TB。

Typical locations for endometriosis may include: ovaries, uterine ligaments, rectovaginal septum, pelvic peritoneum, and laparotomy scars.

子宫内膜异位症常见的发生部位为：卵巢、子宫韧带、阴道隔膜、骨膜腹膜、剖腹手术疤痕。

Small-cut ventrotomy has the same curative effect as the celioscope operation,but it costs less.Key words small cut salpingocyesis celioscope

采用小切口剖腹手术治疗输卵管妊娠取得腹腔镜组相同疗效，且费用低。

The entry into the venterimus and operation of the small-cut ventrotomy takes less time than the celioscopeoperation does,and the cost of the former is lower.

采用小切口剖腹手术治疗输卵管妊娠取得腹腔镜组相同疗效，且费用低。

Methods: In the study, a total of 28 patients with uterine myomas received laparoscopic operation, 22 patients were through conventional open operation.

采用腹腔镜术行子宫肌瘤剔除共28例，选择同期行传统剖腹手术22例。

Gastric mucosa electricision was made with radio knife in all rats of every group except normal control group.

除正常对照组外，其余各组动物均接受剖腹手术，通过胃窦前壁小切口行胃窦黏膜电切术。

Objective:To analyse and evaluate therapeutic value difference between the gastric tube-fed gastrografin and emergency operation for early postoperative inflammatory small bowel obstruction.

目的：分析比较鼻饲泛影葡胺与剖腹手术对术后早期炎性肠梗阻的疗效差异。

But we don't care about Battlegrounds.

但我们并不在乎沙场中的显露。

Ah! don't mention it, the butcher's shop is a horror.

啊！不用提了。提到肉，真是糟透了。