夹

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。

Not only Homer, Dante, Goethe, not only Aristotle, Plato, Epictetus, not only Rabelais, Cervantes, Swift, not only Walt Whitman, Edgar Allan Poe, Baudelaire, Villon, Carducci, Manzoni, Lope de Vega, not only Nietzsche, Schopenhauer, Kant, Hegel, Darwin, Spencer, Huxley – not only these but all the small fry in between.

不仅读过荷马、但盯歌德、柏拉图、埃庇克泰德，不仅读过拉伯雷、塞万提斯、斯威夫特民不仅读过瓦尔特·惠特曼、埃德加·艾伦·坡、波德莱尔、维荣、卡尔杜齐、曼佐尼、洛卡·德·维加，也不仅读过尼采、叔本华、康德、黑格尔、达尔文、斯宾塞、赫胥黎—他不仅读过这些人的著述，还读过夹在这些大人物之间的所有小人物的作品。

Not only Home r, Dante, Goethe, not only Aristotle, Plato, Epictetus, not only Rabelais, Cervantes, Swift, not only Walt Whitman, Edgar Allan Poe, Baudelaire, Villon, Carducci, Manzoni, Lope de Vega, not only Nietzsche, Schopenhauer, Kant, Hegel, Darwin, Spencer, Huxley – not only these but all the small fry in between.

不仅读过荷马、但盯歌德、柏拉图、埃庇克泰德，不仅读过拉伯雷、塞万提斯、斯威夫特民不仅读过瓦尔特·惠特曼、埃德加·艾伦·坡、波德莱尔、维荣、卡尔杜齐、曼佐尼、洛卡·德·维加，也不仅读过尼采、叔本华、康德、黑格尔、达尔文、斯宾塞、赫胥黎—他不仅读过这些人的著述，还读过夹在这些大人物之间的所有小人物的作品。

She picked up the carpetbag which held Scarlett's new velvet frock and bonnet and nightgown and tucked the neat bandanna bundle that contained her own belongings under her arm and shepherded Scarlett across the wet expanse of cinders.

她提起里面装着思嘉的新天鹅绒长袍、帽子和睡衣的帆衣布袋，把包着自己衣物的干净包袱夹在腋下，然后领着思嘉走过到处是煤渣和灰烬的湿地。

She was carry her handbag in one hand and a plastic carrier bag in the other .

她手里夹着自己的手提包，另一只手提着一支塑料袋

Blair: I don't know. Why don't you buy him a gold money clip from Cartier

我不知道，你何不买个卡迪亚的钞票夹

From Cartier,Say It's $49.99? He Won't Know The Difference.

钞票夹 就说是S49块9毛9 反正他也不知道

PCC E Economy Cartridge Clips, Brass, Gold plate.

唱头线插头夹片，经济型，黄铜镀金，直角

His cartridge clip was empty, except for one bullet.

他的弹夹里还剩下唯一的一枚子弹。

8 A clip for a cartridge fuse shall be mounted securely, resistant to turning, and provided with end stops.

19.8 熔丝管夹应该固定安装，能防旋转并能在端头止动。

Plunder melds and run with this jewel!

掠夺melds和运行与此宝石！

My dream is to be a crazy growing tree and extend at the edge between the city and the forest.

此刻，也许正是在通往天国的路上，我体验着这白色的晕旋。