剖腹术

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。

Adult male Sprague-Dawley ratsunderwent subcostal laparotomy surgery under isoflurane anesthesiaor received anesthesia without surgery.

成年雄性 SD 大鼠于异氟烷麻醉下行肋下剖腹术或仅接受麻醉未手术。

Methods 24traumatic reputure of diaphragm patients in our hospital were analyzed and reviewed recent10years.Characteristics and reasons of misdiagnosis of diaphragmatic hernia were summed up with method of case analysis.Ventrotomywas un-derwent in24cases,and choracotomy was perfomed in2cases.1underwent abdominothoracic incision,and1case un-derwent choracotomy after ventrotomy.

回顾性分析我院10年来收治的24例膈肌破裂的诊治经过，以实例分析的方法，总结膈疝的特点及误诊原因；手术方法采用剖腹术20例，剖胸术2例，胸腹联合切口1例，剖腹术后剖胸术1例。

The case number of duodenopancreatectomy,cholecystojejunostomy, cholecystoduodenostomy, gastrojejunostomy, cholecystostomy, choledochoduodenostomy, choledochjejunalostomy, exploration of the common bile duct, and T tube drain were 43, 20, 3, 19, 4, 4, 21, 18, 7 respectively.

行胰十二指肠切除术43例，胆囊空肠吻合术20例，胆囊十二指肠吻合术3例，胃空肠吻合术19例，胆囊造瘘术4例，胆总管十二指肠吻合术4例，胆总管空肠吻合术21例，胆总管探查、T管引流18例，剖腹探查术7例。

Objective To evaluate the clinical value of hemostatic scalpel in abdominal surgery.

目的 通过随机化对照研究，评价热凝切割刀应用于剖腹术的临床价值。

Laparotomy was performed 4 days after CT.

CT扫描4天后行剖腹术。

When a malignant tumor is present, a thorough abdominal exploration, total abdominal hysterectomy, bilateral salpingo-oophorectomy, lymphadenectomy, omentectomy, and removal of all gross cancer are standard therapy.

当恶性肿瘤确诊后，彻底的剖腹探查、完全的腹式子宫切除术、双侧双卵管卵巢切除术、淋巴结切除术、网膜切除术和所有的肉眼能看到的癌组织切除术是标准的治疗。

Methods 130 healthy SD rats were randomly divided into shame operation group, ischemia-reperfusion group, normal saline group and anisodamine group. The SD rats model of hepatic ischemia-reperfusion injury was developed according to Pringle.

方法将130只健康SD大鼠随机分为假手术组，缺血再灌注组，生理盐水组和山莨菪碱组，组Ⅱ、Ⅲ、Ⅳ在全麻下制备肝缺血再灌注模型，组Ⅰ仅行剖腹术。

Laparotomy plus uterocervical manipulation further decreasedthese behaviors and increased abnormal behaviors (licking ofthe lower abdomen and squashing posture of the pelvis to thefloor).

剖腹术宫颈的操作进一步减少了这些活，增了异常活（甜下腹部和骨盆位置压在地面）。

Methods Eighteen Wistar rats were randomized into 3 groups, namely the CLP group (n=6) in which the rats were subjected to cecal ligation plus puncture to induce severe abdominal infection, L-Arg group (n=6) where the rats received 300 mg/kg peritoneal L-Arg injection following CLP establishment, and the control group (n=6) where the rats underwent ventrotomy only.

18只Wistar大鼠随机分为CLP组(n=6)、ARG组(n=6)和对照组(n=6)，CLP组和ARG组均采用大鼠盲肠结扎加穿孔制作严重腹腔感染模型；ARG组术后于腹腔注射L-精氨酸(300 mg/kgd)，CLP组术后注射等量生理盐水，对照组仅行剖腹术。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。