胆囊

Objective To study and discuss the diagnosis and treatment of congenital agenesis of gallbladder.

目的 探讨先天性胆囊缺如的诊断及治疗方法报告先天性胆囊缺如1例并结合相关文献，研究和讨论该疾病的诊断和治疗。

Objective:Discuss the reason of cholecyst remains after cholecystectomy and the prevent measure.

目的：探讨胆囊切除术后残余胆囊的发生原因及预防措施。

Laparoscopic cholecystectomy is feasible and safe for complicated cholecyst and could be open abdomen if necessary.

采用腹腔镜胆囊手术对复杂困难胆囊行切除，只要方法适当，是安全可行的，必要时可中转开腹处理。

Methods:One way is to provide two 5mm Trocars in umbilicus for a laparoscope and operative instruments and another 5mm Trocar in the right lower quadrant or just below the umbilicus for assistant instrument.

方法一：沿脐上、下缘各做5mm横行切口，各穿刺5mm Trocar，分别供5mm腹腔镜和操作器械进出，另在右下腹或脐正下方穿刺5mm Trocar，置入直径5mm抓钳用于协助牵引胆囊，用普通腹腔镜器械和超声刀完成胆囊切除；最后将脐部2戳孔合二为一，取出胆囊。

53Mm. Conclusion Attention should be paid to the left and right edge of the gallbladder bed and those eases with right notch while cutting the gallbladder. Make sore time structure in time Calot triangle.

切除胆囊时应注意胆囊床右缘或右侧，以及具有肝门右切迹的病例，辩明清楚胆囊三角内的结构。

The results indicate that there are a series of differences between the spectra of normal and malignant tissues, and subtraction technique is helpful to identify cholecystitis and gallbladder cancer.

研究了衰减全反射红外光谱法快速检测胆囊癌的灵敏度和特异性，结果表明，正常组织和胆囊癌组织的红外光谱存在一系列差别，减法光谱技术有助于判别胆囊炎和胆囊癌。

Now it is considered that the formation of cholesterol gallstone must include follow conditions: decompensation of liver, secreting supersaturation hepatobile, broken balance of nucleating proteins with anti-nucleating proteins, and declining of gallbladder motility, which for bile to have enough time to form concretions in the gallbladder.

目前认为胆囊胆固醇结石形成必须具备以下条件：肝脏代谢紊乱，分泌过饱和肝胆汁，促成核因子和抑成核因子之间平衡的破坏及胆囊动力紊乱，使胆汁有充分时间在胆囊内形成结石。

Improper operation,unclear anatomy to the cystic artery injury,gallbladder bed collateral damage in improper handling of small artery bleeding is the main reason ,mastering clearly exposure of gallbladder and rational use of haemostasis is the key to prevent bleeding.

操作不当、解剖不清致胆囊动脉损伤、胆囊床侧支小动脉损伤处理不当是出血的主要原因，掌握胆囊三角的清楚暴露和合理运用止血方法是防止出血的关键。

Improper operation,unclear anatomy to the cystic artery injury,gallbladder bed collateral damage in improper handling of small artery bleeding is the main reason ,mastering clearly exposure of gallbladder and rational use of haemostasis is the key to prevent bleeding.

操作不当、解剖不清致胆囊动脉损伤、胆囊床侧支小动脉损伤处理不当是出血的主要原因，掌握胆囊三角的清楚暴露和合理运用止血方法是防止出血的关键。中国论文联盟http：//www.lwlm.com

Improper operation,unclear anatomy to the cystic artery injury,gallbladder bed collateral damage in improper handling of small artery bleeding is the main reason ,mastering clearly exposure of gallbladder and rational use of haemostasis is the key to prevent bleeding.

操作不当、解剖不清致胆囊动脉损伤、胆囊床侧支小动脉损伤处理不当是出血的主要原因，掌握胆囊三角的清楚暴露和合理运用止血方法是防止出血的关键。中国诺宇综合网http：//www.siaaa.com

Neither the killing of Mr Zarqawi nor any breakthrough on the political front will stop the insurgency and the fratricidal murders in their tracks.

在对危险的南部地区访问时，他斥责什叶派民兵领导人对中央集权的挑衅行为。

In fact,I've got him on the satellite mobile right now.

实际上 我们已接通卫星可视电话了