胆囊

A 52 years old ASA physical status III male (height, 167 cm; weight, 62 kg) admitted for emergency cholecystectomy and choledocholithotomy.

一患有再发性口腔癌术后三个月及糖尿病52岁ASA分类三级男性，接受紧急胆囊及总胆管手术治疗。

We report a 67-year-old female admitted to our hospital with intermittent fever and upper abdominal pain. She had undergone cholecystectomy and choledocholithotomy 20 years previously. More recently, she had recurrent intrahepatic stones and underwent repeated choledocoscopic lithotiomy and endoscopic lithotripsy.

我们报告一位六十七岁女性因间歇性的发烧及上腹痛而住院，患者曾因胆及胆道结石在二十年前接受了胆囊切除术、胆道取石术，近几年又因复发的瞻道结石及胆管炎接受多次的胆道镜取石术及内视镜取石术。

Laparoscopic choledocholithotomy Ttube drainage was performed in 491 cases,all 11 cases of bile leakage were cured conservatively.173 cases were treated by transcystic duct exploration,and were cured conservatively,173 cases were treated by transcystic common bile duct exploration,and there were no complications.

完成491例腹腔镜胆总管切开纤维胆道镜取石，&T&管引流术（laparoscopic choledocholithotomy Ttube drainage，LCTD），出现胆漏11例，经保守治疗治愈。173例经过胆囊管取出胆总管结石，无并发症发生。

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。

The operation consisted of cholecystectomy,choledochostomy,jejunostomy and great omentum resection; the pancreas was not operated.All of the patients survived.

行胆囊切除、胆总管探查、空肠造瘘及大网膜切除术，手术中尽可能不干扰胰腺。32例患者全部存活，均未行第2次手术，无假性囊肿形成。

Methods In choledochotomy of 32 cases,make sure it is unabstructed after cleaning all the stones and ascaricls,then it is sewed up primarily and conformed by cholangiongraphy.

对32例患者行胆道探查，取尽结石或蛔虫，检查胆总管下段通畅，经胆囊管胆道造影后一期缝合胆管。

Objective To probe the effect of treatment and operative means of choledocoscopy.Methods 34choledocholithasis patients were treated by cholecystectomy and choledochotomy under laparoscopy combined with fibro-optic choledocoscopy,and one-stage suture or T-shaped-tube drainage.

目的 探讨腹腔镜联合纤维胆道镜治疗胆总管结石的治疗效果及手术方式方法对34例胆总管结石患者在腹腔镜下行胆囊切除、胆总管切开、纤维胆道镜取石后行期缝合或T管引流。

Type I Mirizzi syndrome treated with laparoscopic cholecystectomy and type Ⅱ with choledochotomy and T??tube drainage,suturing fistula and retaining partial gallbladder wall is safe and feasible.

Mirizzi综合征I型行LC、II型行胆总管T管引流+保留部分胆囊壁缝合瘘口的手术安全可行。

Methods 34choledocholithasis patients were treated by cholecystectomy and choledochotomy under laparoscopy combined with fibro-optic choledocoscopy,and one-stage suture or T-shaped-tube drainage.

对34例胆总管结石患者在腹腔镜下行胆囊切除、胆总管切开、纤维胆道镜取石后行一期缝合或T管引流。

Main methods included choledochotomy, choledochoscopic exploration,ureteral catheter through cystic duct remnant for drainage of bile duct,Ttube drainage,and the primary closure of duct incision.

1993年10月至2005年3月运用腹腔镜胆总管切开取石术(包括胆总管切开，胆管镜取石，经胆囊管残端输尿管导管胆管引流、T管引流、胆总管切口即时缝合等)有选择地对87例胆总管内径≤08cm的胆总管结石病人进行治疗。

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。