胆囊切除术

Of them,194 cases had been conducted sterility explorations,148 ectopic pregnancy operations,91 ovarian multiple cyst operations,49 myomectomy,47 enucleation of ovarian multiple cysts,29 laparoscopic cholecystectomies,24 teratoma resections,2 ruptuure of corpus luteum operations,2 appendectomies,repair in perforation of uterus,eyewinker extraction in abdominal cavity.Tubal ligation and communicating branch lidation of great saphenous vein.

在连续硬膜外加静脉麻醉下为602例行腹腔镜手术，其中不孕症宫腹腔镜探查术194例，宫外孕手术148例，多囊卵巢手术91例，子宫肌瘤切除术49例，卵巢囊肿切除术47例，胆囊切除术29例，畸胎瘤切除术24例，黄体破裂修补术12例，盆腔脓肿引流术2例，阑尾切除术2例，腹腔镜子宫穿孔修补，腹腔异物取出，输卵管结扎，大隐静脉交通支离断等各1例。

Methods:602 patients were performed laparoscopic operation under continuous peridural and intravenous anesthesia.Of them,194 cases had been conducted sterility explorations,148 ectopic pregnancy operations,91 ovarian multiple cyst operations,49 myomectomy,47 enucleation of ovarian multiple cysts,29 laparoscopic cholecystectomies,24 teratoma resections,2 ruptuure of corpus luteum operations,2 appendectomies,repair in perforation of uterus,eyewinker extraction in abdominal cavity.Tubal ligation and communicating branch lidation of great saphenous vein.

在连续硬膜外加静脉麻醉下为602例行腹腔镜手术，其中不孕症宫腹腔镜探查术194例，宫外孕手术148例，多囊卵巢手术91例，子宫肌瘤切除术49例，卵巢囊肿切除术47例，胆囊切除术29例，畸胎瘤切除术24例，黄体破裂修补术12例，盆腔脓肿引流术2例，阑尾切除术2例，腹腔镜子宫穿孔修补，腹腔异物取出，输卵管结扎，大隐静脉交通支离断等各1例。

~in august, 1997 the good gallbladder majority of excisions 45 examples clinical material carried on the analysis to june, 1986.result:in 45 examples because the gallbladder itself pathological change good gallbladder majority of excises 41 examples, after the technique the non-gallbladder fistula, the hemorrhage, illness complication and so on icterus, abdominal cavity abscess.

48例腹腔镜胆囊切除术治疗胆囊良性疾。。。目的：探讨胆囊大部分切除在胆道外科中的应用价值。方法：对1986年6月～1997年8月行胆囊大部分切除的45例临床资料进行分析。结果：45例中因胆囊本身病变行胆囊大部分切除41例，术后无胆瘘、出血、黄疸、腹腔脓肿等并发症。

Methods The gallbladder patients from july 2004 to july 2005 of our hospital were randomizedly divided into MLC and LC groups. MLC with three ports: one 10-mm umbilical port, one 5-mm subxiphoid port, and one 2-mm port in the right subcostal position.

迷你腹腔镜胆囊切除术采用脐孔10mm、剑突下5mm、右肋缘下2mm三孔法，而常规腹腔镜胆囊切除为脐孔10mm、剑突下10mm，右肋缘下2个5mm四孔法。2004年7月至2005年7月行腹腔镜胆囊切除936例，男349例，女587例胆囊病变病人进行研究。

Objective:To evaluate the part-cholecystetoomy used in some disease of vesicae fellea which difficulty with cholecystetoomy.

目的：探讨胆囊疾病行胆囊切除术有困难时采用胆囊部分切除术的疗效方法：将37例行胆囊部分切者列 A组，并与同期37例随机选取的胆囊全切者进行围手术期比较。

Results Among 89 cases,68 cases underwent cholecystectomy(6 cases bile duct drainage),and 14 cases subtotal cholecystectomy,cholecystostomy in 7 cases;death occurred in one case.

结果 89例中行胆囊切除术68例(胆总管T管引流术6例)，胆囊大部切除术14例，胆囊造瘘术7例。治愈88例，死亡1例。

We performed cholecystectomy in 10 cases, cholecystectomy and choledochotomy for common bile duct exploration and stone removal and T-tube drainage in 2, partial cholecystectomy in 3, cholecystostomy in 1. Pathological examination showed that it was AGC in all the patients.

该组行胆囊切除术10例，胆囊切除+胆总管切开取石+T管引流术2例，胆囊大部切除术3例，胆囊造瘘术1例，术后病理报告均为急性坏疽性胆囊炎。

Results Preoperative diagnostic rate was53.6%,and operative resection rate was71.4%,simple cholecystectomy in6cases,cholecystectomy and exploration of the biliary passage in4cases,gallbladder and regional lymphadonectomy in2cases,gallbladder and liver wedge resection and regional lymphadonectomy in6cases,gallblad-der and liver wedge resection and regional lymphadonectomy and right hemicolectomy in1case,and gallbladder and liver wedge resection and regional lymphadonectomy and subtotal gastrectomy and right hemicolectomy in1case.Unre-sectable rate were28.6%,gastro-jejunostomy in2cases,cholecystostomy in1case.Laparotomy exploration only in5cases.

结果 术前确诊率仅为53.6%（15/28），手术切除率为71.4%（20/28），单纯胆囊切除术6例（占21.4%），胆囊切除+总胆管探查4例（占14.3%），胆囊切除+区域淋巴结清扫2例（占7.1%），胆囊+肝楔状切除+区域淋巴结清扫6例（占21.4%），胆囊+肝楔状切除+区域淋巴结清扫+右半结肠切除1例（占3.6%），胆囊+肝楔状切除+区域淋巴结清扫+胃大部切除+右半结肠切除1例（占3.6%），未切除率为28.6%，胃-空肠吻合术2例（占7.1%），胆囊造瘘1例（占3.6%），仅做剖腹探查术5例（占17.9%）。

Methods: Fifty-six cases of cholelith in residual gallbladder after cholecystectomy were analysed retrospectively. Among them, 18 patients under went conventional cholecystectomy, 16 patients underwent mini-lap cholecystectomy, 22 patients underwent laparoscopic cholecystectomy; 30 patients under went emergency operation and 26 patients under went selective operation; 42 patients' first operation was performed by under grade three hospital and 14 patients were performed by up gradethree hospital.

对56例残余胆囊结石再次手术的病例进行回顾性分析。56例中初次手术行经典胆囊切除术18例，小切口胆囊切除术16例，腹腔镜胆囊切除术22例；急诊手术30例，择期手术26例；初次手术在三级以下医院施行42例，在三级以上医院施行14例。

Of them,194 cases had been conducted sterility explorations,148 ectopic pregnancy operations,91 ovarian multiple cyst operations,49 myomectomy,47 enucleation of ovarian multiple cysts,29 laparoscopic cholecystectomies,24 teratoma resections,2 ruptuure of corpus luteum operations,2 appendectomies,repair in perforation of uterus,eyewinker extraction in abdominal cavity.Tubal ligation and communicating branch lidation of great saphenous vein.

在连续硬膜外加静脉麻醉下为602例行腹腔镜手术，其中不孕症宫腹腔镜探查术194例，宫外孕手术148例，多囊卵巢手术91例，子宫肌瘤切除术49例，卵巢囊肿切除术47例，胆囊切除术29例，畸胎瘤切除术24例，黄体破裂修补术12例，盆腔脓肿引流术2例，阑尾切除术2例，腹腔镜子宫穿孔修补，腹腔异物取出，输卵管结扎，大隐静脉支离断等各1例。

I can not make it blossom and suits me

我不能让树为我开花

When temperatures are above approximately 80 °C discolouration of the raceways or rolling elements is a frequent feature.

当温度高于 80 °C 左右时，滚道或滚动元件褪色是很常见的特征。