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吻合

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Results: 11 patients were found anastomotic leakage in 348 anus-preserved operation cases (incidence rate was 3.2%).

结果:共行低位保肛手术348例,术后发生吻合口漏11例,吻合口漏的发生率为3.2%。

Methods and Results:the method of rat heterotopic heart transplantation was modified in preparation of recipient ,the way of donor cardiectomy and vessel anastomosis based on Ono method.The duration of procedure and the myocardial ischemic duration were shortened.The anastomotic hemorrhage rate and stricture rate were reduced .

方法和结果:以Ono法为基础,在供心的切取、受体腹腔血管的准备、心肌保护以及血管吻合方面进行了改进,缩短了手术操作时间,减少了术后出血和吻合口狭窄的发生率。

METHODS: On the basis of twocuff technique of Kamada, weve improved the techniques of separating, perfusing donor liver, the shearing and anastomosis of the superior and inferior caval veins, the bile duct anastomosis, and so on.

在Kamada两套袖法基础上,着重对供肝分离、灌注、肝上下腔静脉切取,肝上下腔静脉吻合,胆管吻合等手术方法作了进一步改进。

Result:2 cases were made definite diagnosis among celiotomy exploratory, 1 case was diagnosed next day after injury, Another 3 cases weren't made definite diagnosis until 5~25 days later. 3 cases were taken ureter or ureter to renal pelvis end-to-end one-stage anastomosis early,2 cases were taken urinary cyst resection and ureter end-to-end anastomosis three months later,1 case performed extravsation of urine drainage only.

结果:2例在早期剖腹探查中明确诊断,1例于伤后d2明确诊断,另3例在伤后5~25d才明确诊断。3例早期行一期输尿管或输尿管肾盂端端吻合术,2例于损伤3个月后行尿液性囊肿切除输尿管端端吻合术,1例行单纯尿液引流。

Result: 21 routine cyst excisions, choledoch jejunum Roux - Y anastomosis. 1 example pure cyst jejunum tallies,Complication 4 examples.Non-death case of illness.

结果:21例行囊肿切除、胆总管空肠Roux - Y吻合术。1例单纯囊肿空肠吻合,并发症4例,无死亡病例。

carries on the analysis to 22 example congenital choledoch cyst patient.result: 21 routine cyst excisions, choledoch jejunum roux - y anastomosis.

结果:21例行囊肿切除、胆总管空肠roux - y吻合术。1例单纯囊肿空肠吻合,并发症4例,无死亡病例。

METHODS: The clinical data of 326 patients received choledochoduodenostomy from 1962 to 2002 were analyzed respectively.

目的:总结胆总管十二指肠吻合术的远期疗效方法:回顾性分析1962-2002年胆总管十二指肠吻合术326例的临床资料。

There are two kinds of operations,the first is interposed jejunal choledochoduodenostomy,the second is Rou-en-Y choledochojejunostomy.

术式有两种,一种为间置空肠胆管十二指肠吻合术,一种为胆管空肠Roux-en-Y型吻合术。

RESULTS: Before 1982, there were 178 patients received choledochoduodenostomy, and postoperative cholangitis or blindloop syndrome occurred in 36 cases for anastomotic stricture, 4 of which died.

结果:1982年以前178例,其中36例因吻合口狭窄致胆管炎或胆总管盲端综合征,其中4例死亡,死亡率为2.2%(4/178);1983后强调低位大口径吻合,其中5例出现胆管炎或胆总管盲端综合征,无死亡病例。

Cases were undergone choledocholithotomy with T-tube drainage , 39 cases cholangiojejunostomy with T-tube drainage , 28 cases lobectomy of liver, 16 cases plastic repair of hepatic portle duct with cholangiojejunostomy.

其中肝胆管切开取石T管引流术47例,肝胆管切开取石+胆肠吻合术39例,肝部分切除术28例,肝门部胆管切开成形+胆肠吻合术16例。

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