石切除术

Methods HALS was used in 202 cases including 94 cases of hepatectomy, 29 cases of splenectomy, 28 cases of modified Sugiura procedure, 4 cases of combined hepatectomyand splenectomy, 41 cases of combined hepatectomy and choledocholithotomy, one case of combinedhepatectomy and total hysterectomy and 5 cases of combined splenectomy with choledocholithotomy.

对202例肝或脾外科疾病进行手助腹腔镜手术，包括肝切除94例，脾切除29例，改良Sugiura术28例，肝脾联合切除4例，肝子宫联合切除1例，肝切除加胆总管取石术41例，脾切除加胆总管取石术5例。

Methods 30 cases of hepatolithiasis patients were divided randomly into following two groups: 15 did lobectomy of liver, 15 did choledocholithotomy.

30例肝内胆管结石的病人随机分成两组， 15例行肝叶切除术，另 15例行胆总管切开取石、 T管引流术。

It is necessary to block renal circulation temporarily in some complicated renal operations such as nephropyelolithotomy and nephron sparing nephrectomy of renal tumors.

在泌尿外科领域一些复杂的，肾脏手术，如肾实质切开取石术，肾肿瘤的肾部分切除术，暂时阻断血流是必要的。

Objective To explore clinic application of endoscopic retrograde cholangiopancreatography combined with laparoscopic cholecystectomy for the treatment of the cholecystic stone combined bile duct disease.

目的 探讨逆行胰胆管造影术联合腹腔镜胆囊切除术对胆囊结石伴胆管病变治疗的临床应用方法 27例胆囊结石伴胆道病变患者，先用ERCP、乳头切开术取石；或ERCP和鼻胆管引流及柱状气囊扩张术治疗，术后3～11天，患者无发热、腹痛，血淀粉酶正常，再按常规四孔法施行LC。

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 explore the feasibility and safety of LC combined intraoperative ERCP for the one stage treatment of cholelithiasis with choledocholithiasis.

目的：探讨腹腔镜胆囊切除术联合术中内镜下逆行胆胰管造影及乳头切开取石一期治疗胆囊结石合并肝外胆管结石的可行性和安全性。

All of those who did choledocholithotomy had remaining calculi, and with the help of endoscope, 4 cases still had remaining calculi, only 33.3％ cases had excellent results.

行胆总管切开术的，术后残石 15例(100％)，经术后胆道镜，仍有 4例未取净。随访结果表明：肝叶切除术优良率为 80％，胆总管切开术的优良率为 33.3％。

The indications for the initial CT were the staging of small-bowel tumor and colon cancer, nonspecific abdominal discomfort, lier abscess, confirmation of the residual stone after open cholecystectomy and choledocholithotomy, and common bile duct stone and lier abscess.

所有病人均发现胰腺有异常，初始CT检查有小肠肿瘤和结肠癌、非特异性腹部不适、肝脓肿、胆囊切除术和胆总管石切除术后的残余结石、总胆管结石伴肝脓肿。

There were no blood transfusion or serious complication in the study.Conclusions:Retroperitoneal laparoscopic operation,such as adrenalectomy,nephropexy,pelvioplasty,unroofing of renal cyst,pelvilithotomy,ureterdithotomy and spermatic vein ligation,have the advantages of minimai invasion,less blood loss and fewer complications,which is an effective and practical procedure.

后腹腔镜肾上腺瘤切除术、肾固定术、肾盂成形术、肾囊肿去顶术、肾盂或输尿管切开取石术及腹腔镜精索静脉高位结扎术具有创伤小、出血少、并发症少等优点，临床疗效可靠，实用性较强。

Where forbidden, it has prevailed over stonings, burnings , lobotomies, schoolyard homophobia, the gallows and the gaol .

哪里被禁止，那里的爱情就会战胜投石、火刑、脑白质切除术、同性恋恐怖症、绞刑和监禁。

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。