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MethodsThe antipyretic activity of SMPS was observed in rats with high temperature induced by dried yeast and 2,4-dinitrophenol; biliary duct cannula bile at 0.5,1,1.5,2,2.5 h after intraduodenal administration in rats was collected and counted to observe the effect of SMPS on biliary secretion;the weight of cholecyst in mice was counted to observe the effect of SMPS on the cholecyst of mice;the acute toxicity test of SMPS was done with mice.

目的研究玉米须多糖的清热利胆作用及急性毒性。方法采用干酵母、2,4二硝基苯酚致大鼠发热的模型观察玉米须多糖的解热作用;采用胆管引流法分别收集并计量给药后0.5,1,1.5,2 ,2.5 h的胆汁的方法观察SMPS对肝脏分泌胆汁的影响;采用测定小鼠胆囊重量的方法观察SMPS对胆囊的影响;对SMPS进行了小鼠急性毒性实验。

MethodsThe antipyretic activity of SMPS was observed in rats with high temperature induced by dried yeast and 2,4-dinitrophenol; biliary duct cannula bile at 0.5,1,1.5,2,2.5 h after intraduodenal administration in rats was collected and counted to observe the effect of SMPS on biliary secretion;the weight of cholecyst in mice was counted to observe the effect of SMPS on the cholecyst of mice;the acute toxicity test of SMPS was done with mice.

方法采用干酵母、2,4二硝基苯酚致大鼠发热的模型观察玉米须多糖的解热作用;采用胆管引流法分别收集并计量给药后0.5,1,1.5,2 ,2.5 h的胆汁的方法观察SMPS对肝脏分泌胆汁的影响;采用测定小鼠胆囊重量的方法观察SMPS对胆囊的影响;对SMPS进行了小鼠急性毒性实验。

Objective To evaluate the feasibility and clinical value of gallbladder transection in minimally invasive laparotomy cholecystectomy.

目的 探讨胆囊横断法在微创开腹胆囊手术中应用的可行性及临床价值。

The duration of hospitalization was 4~7 d(mean=4.6 d). Conclusion It is safe and feasible for silk suture to ligate the cystic duct and the cystic artery in LC.

住院4~7 d,平均4.6 d。结论在LC术中应用腹腔镜多功能夹持钳以丝线取代钛夹和生物夹结扎胆囊管和胆囊动脉是安全、可行的;本新型器械与现有缝合打结器械相比,能有效降低利用丝线结扎组织的难度,提高打结效率,具有很高的推广应用价值。

The duration of hospitalization was 4~7 d(mean=4.6 d). Conclusion It is safe and feasible for silk suture to ligate the cystic duct and the cystic artery in LC. Compared to the existing knot-tying device and medical suturing instrument, the new-type instrument helps to offer less knot-tying difficulty and higher knot-tying efficiency, so it is worthy of being popularized.

住院4~7 d,平均4.6 d。结论在LC术中应用腹腔镜多功能夹持钳以丝线取代钛夹和生物夹结扎胆囊管和胆囊动脉是安全、可行的;本新型器械与现有缝合打结器械相比,能有效降低利用丝线结扎组织的难度,提高打结效率,具有很高的推广应用价值。

Methods:"JIN's knot"was applied in dealing with duct of gallbladder,blood vessel of gallbladder,mesoappendix and remnant of appendix in laparoscopic cholecystectomy and appendectomy.

在腹腔镜胆囊切除术(LC、腹腔镜阑尾切除术(LA中应用靳氏结处理胆囊管及其血管和阑尾残根及其系膜。结果:58例中除3例坏疽性阑尾炎因根部

Results:Except that 3 gangrenous appendicitises were performed laparotomy,the other 36 cases were successfully applied "JIN's knot"to deal with duct of gallbadder,blood vessel of gallbladder,mesoappendix and remnant of appendix.

作者:靳常海,刘君,崔刚,李岩,魏宏基目的:探讨'靳氏结'应用在腹腔镜免夹术中的安全可行性。方法:在腹腔镜胆囊切除术(LC、腹腔镜阑尾切除术(LA中应用'靳氏结'处理胆囊管及其血管和阑尾残根及其系膜。

ABSTRACT: Primary carcinoma of the gallbladder is the most common malignant tumor in biliary system and its morbility has been rising year by year in our country.

由于原发性胆囊癌无特异性的临床表现,临床发现的胆囊癌多属中晚期,根治性切除率低,预后差。

So nonclosure and suture gallbladder stump after the subtotal laparoscopic cholecystectomy is safe and effective.

腹腔镜胆囊大部切除术不闭锁缝合胆囊残端是安全、可行、有效的手术方法。

Firstly, eleven cases with empyema of the gallbladder, biliary sludge, chronic cholecystitis, polypoid cholesterolosis, papilloma of the gallbladder or pedunculated hepatocellular carcinoma were misdiagnosed as gallbladder carcinoma.

在2例伪阴性例中,1例之癌症只有胆囊粘膜上的轻微变化可见,幷只侵犯少许肌肉层,另1例则为全部胆囊壁都是癌肿瘤,且侵犯至总胆管及淋巴腺。

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