漏

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:the clinic data of 172 cases performed by lc were analyzed retropectovely to disscuss the operation skill and the owoiding of complications.results:there are 3 cases with bile leakage and 5 case with hemorrhage during operation.3 cases were converted to open operations midway with a rate of 1.74%.there are no such severe complications as biliary ducts injury,postoperational hemorrage and bile leakage.conclusions:be familiar with the anatomic variation of cholecystic vessels and biliary ducts,reasonable operation skill,standard manipulation and abdominal operation in time can decrease the complications of lc.

回顾性分析我院172例lc患者的临床资料，就手术技巧与并发症预防进行探讨。结果：术中发现胆漏3例；术中出血5例；中转开腹3例，中转开腹率为1.74％。全组无胆管损伤、术后出血及胆漏等严重并发症。结论：熟悉胆囊血管和胆管的解剖变异，合理的手术技巧、规范的操作、及时果断的中转开腹可以最大限度的减少lc并发症的发生。

Results:Seventysix cases were successfully performed LC,three cases were Mirizzi syndrome type Ⅰ,and one case was converted to open surgery because of gallbladdercolon fistula and gallbladderright hepatic duct fistula,and one was converted to choledocholithotomy with Ttube drainage because of Mirizzi syndrome combined with injury of common bile duct.

结果：76例顺利完成LC，其中3例为Mirizzi综合征Ⅰ型；1例因合并胆囊结肠漏、胆囊右肝管漏中转开腹，另1例为Mirizzi综合征Ⅱ型，术中胆总管损伤中转手术行胆总管对端吻合&T&管支撑引流术。

Lymphatic vessel leak stopped in 14 patients within one week, 8 of chylous fistula stopped within 2 weeks, the other 3 stopped one month later.

淋巴管漏的14例患者于1周内治愈，胸导管漏的8例于2周内治愈，其余3例超过1月，最长1例45天治愈。

Lymphatic vessel leak occurred in 14 patients,10 in right, 4 in left; chylous fistula occurred in 11patients,10 in left,1in right.

术后发生淋巴管漏14 例，左侧4 例，右侧10例；发生胸导管漏11例；左侧10例，右侧1例。

Early diagnosis and high negative pressure drainage and local pressure dressing for chylous fistula is effective and safe .

及早发现颈淋巴结清扫术后乳糜漏，强负压吸引，适当加压包扎是治疗乳糜漏较为安全有效的方法。

Lymphatic vessel leak occurred in 14 patients,10 in right, 4 in left; chylous fistula occurred in 11patients,10 in left,1in right.

目的 探讨甲状腺癌颈淋巴结清扫术后淋巴管漏和乳糜漏的原因，诊断及处理体会。

After high negative pressure drainage and local pressure dressing, all were cured in two weeks. Conclusion: Early diagnosis and high negative pressure drainage and local pressure dressing for chylous fistula is effective and safe .

及早发现颈淋巴结清扫术后乳糜漏，强负压吸引，适当加压包扎是治疗乳糜漏较为安全有效的方法。

One is wrong draw, leakage draw, express Chinese domanial Taiwan by independency home for instance, still have even if the phenomenon such as Zhu Dao of leakage draw Nanhai.

一个是错绘、漏绘，比如把中国领土台湾按独立国家表示，还有就是漏绘南海诸岛等现象。

The anatomical detect skill and mosquito clamp cross technique to peel off invasived vascular were adopted.58patients were undergone pancreatico duodenectomy,and the rate of resects was95%.The cases of near to the invasived vascular malignant tissue was41,and the cases of the lymph node metastasis was27,and the cases of around pancreatic nerve was30.1case died of bleeding,and the morbidity of complication was found in14cases,and no patients occurred fistula.

病例报告］回顾性分析 2003年9月―2006年6月间收治的61例壶腹部周围癌病人临床资料，采用解剖性探查及纹式钳勾划技术，给58例病人施行了一次性胰十二指肠切除术，手术切除率为95%，其中41例癌细胞侵入周边大血管，27例发生淋巴结转移，30例癌细胞侵入胰周神经丛。58例手术患者中围手术期死亡1例，出现并发症者为14例，未见并发胰漏及胆漏病例。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。