括约肌切除术

Objective:To observe the clinical results of LC combined with EST in treating cholecystolithiasis and choledocholithiasis.

目的： 总结腹腔镜胆囊切除术＋十二指肠乳头括约肌切开术治疗胆囊、胆总管结石的体会。

Methods:The clinical data of 6 cases that received LC combined with EST herapy for cholecystolithiasis and choledocholithiasis were analyzed retrospectively.

目的：总结腹腔镜胆囊切除术＋十二指肠乳头括约肌切开术治疗胆囊、胆总管结石的体会。方法：为6例患者行LC＋EST。

Objective: To evaluate the technique and value of the combination of laparoscopic cholecystestomy and endoscopic sphincterotomy in the treatment of cholecystolithiasis and common bile duct stones.

目的：评价腹腔镜胆囊切除术（laparoscopic cholecystectomy，LC）和内镜下Oddi括约肌切开取石术（endoscopic sphincterotomy，EST）联合胆囊和胆管结石病的方法和价值。

Objective:To estimate the feasibility and advantages of laparoscopic assisted total mesorectal excisionplus intersphincteric resection in treatment of ultra-low rectal cancer.

目的：探讨腹腔镜下全直肠系膜加经内外括约肌间切除术治疗超低位直肠癌的可行性及优势。

AIM: To evaluate the application value of endoscopic sphincterotomy and endoscopic nasobiliary drainage before laparoscopic cholecystectomy.

目的：探讨内镜下括约肌切开术和内镜鼻胆管引流术联合应用在腹腔镜胆囊切除术前的应用价值。

AIM: To evaluate the application value of endoscopic sphincterotomy and endoscopic nasobiliary drainage before laparoscopic cholecystectomy.

目的：探讨内镜下括约肌切开术和内镜鼻胆管引流术联合在腹腔镜胆囊切除术前的应用价值。

Selected cases of limited distal intraductal inolement accessible after sphincterotomy may also be managed curatiely by endoscopic resection.

对于筛选过的局限性远端管内受累病例，在括约肌切开术后能探及的情况下，也能通过内镜下切除术来治愈。

Period,12 cases defecated normally,18 cases undergoing internal sphincter myomectomy and 30 cases undergoing radical excision had good restoration.

结果 均顺利渡过最初危险期，其中12例排便恢复正常；18例行内括约肌部分切除术；30例行巨结肠根治术，术后均恢复良好。

Results Among the 60 cases, all patients past the first riskperiod,12 cases defecated normally,18 cases undergoing internal sphincter myomectomy and 30 cases undergoing radical excision had good restoration.

结果 均顺利渡过最初危险期，其中12例排便恢复正常；18例行内括约肌部分切除术；30例行巨结肠根治术，术后均恢复良好。

Abstract］ objective to investigate anus sphincter preserved surgical method and indication for low rectal cancer.methods 15 cases with low rectal cancer were operated with eversion and pull-through anus preserved colorectal anastomosis through anus.results no patients died of operation,no patients was with fistula and stricture of anastomosis,no defecation incontinence happened after postoperative 20 weeks,only one patient was with local recurrence.following up for 8 months to 5 years,5 cases were with distant metastasis,4 of these died,one of these had lived with liver metastasis for 3 years.conclusion the indication of anus preserved operation should be chosen according to clinical stage and biological characteristic of rectal malignancy; eversion and pull-through anus preserved colorectal anastomosis through anus is a better anus preserved operation for low rectal cancer.

目的 探讨低位直肠癌保留肛门括约肌功能的手术方法和手术适应证。方法对低位直肠癌经腹经肛门直结肠外翻拉出保留肛门吻合术15例。结果全组无手术死亡，未发生吻合口漏和吻合口狭窄，局部复发1例，20周左右恢复正常排便排气功能，无大便失禁病例。随访8个月～5年，5例为远处转移，死亡4例，其中1例肝转移3年仍生存。结论根据直肠癌的临床分期和肿瘤的生物学特性选择保肛手术适应证，经腹、肛门齿线上直肠癌根治性切除，行肛门直结肠外翻拉出吻合是低位直肠癌较好的保肛术式。

As she looked at Warrington's manly face, and dark, melancholy eyes, she had settled in her mind that he must have been the victim of an unhappy attachment.

每逢看到沃林顿那刚毅的脸，那乌黑、忧郁的眼睛，她便会相信，他一定作过不幸的爱情的受害者。

Maybe they'll disappear into a pothole.

也许他们将在壶穴里消失