胆囊切除术

The anatomy relationship of venae hepaticae intermediae and its branches on gallbladder bed were analysed,which could be the reference during the LC.Results:For 112 patients suffered from inatrophic cholecystitis and cholecystolithiasis,whose gallbladders were decoherence directdly from ectoptygma muscular coat close to the gallbladder wall.

结果：对于术前经彩色多普勒超声波检查明确的肝中静脉直接和胆囊床相贴的非萎缩性胆囊炎胆囊结石的102例患者，采用紧靠胆囊壁的浆肌层直接进行剥离；而慢性萎缩性胆囊炎胆囊结石的24例患者，采用胆囊粘膜切除，或者直接开腹手术切除，未发生因损伤胆囊床肝中静脉而大出血。

Gallbladder endoscopicmucosalresectionor open cholecystectomy were applied in 28 cases developed with chronic atrophic cholecystitis and cholecystolithiasis.No hemorrhoea resulted from venae hepaticae intermediae on gallbladder bed injury were occured in all the cases.

术前常规彩色多普勒超声波检查，明确胆囊床肝中静脉及属枝位置关系，对于肝中静脉与胆囊床相贴的病例，采用紧靠胆囊壁的浆肌层剥离，或采用胆囊粘膜切除，或直接开腹手术切除，可以避免因损伤胆囊床肝中静脉而导致大出血。

Dissecting the gallbladder wall for inspection and palpating the mucosa is useful for the diagnosis of incidental gallbladder carlinoma,and when necessary,histopathologic examination should be performed LC for PT1 gallbladder cancer needs no additional treatment,however,wedge resection of liver bed tissue and district lymphaden for PT2 patients is recommended,Conversion to the open procedure and radical operation or palliative operation for PT3 is prefered

所有病例均未见脐部戳孔处肿瘤种植转移。结论：LC术中应常规切开胆囊标本，必要时送术中冰冻。PT1单纯切除胆囊已足够；PT2要额外楔形切除肝组织及区域淋巴结；PT3中转开腹，行根治手术或姑息手术。

On the other hand, the more important thing is because the urban housing is a kind of heterogeneity products.

另一方面，更重要的是由于城市住房是一种异质性产品。

Climate histogram is the fall that collects place measure calm value, cent serves as cross axle for a few equal interval, the area that the frequency that the value appears according to place is accumulated and becomes will be determined inside each interval, discharge the graph that rise with post, also be called histogram.

气候直方图是将所收集的降水量测定值，分为几个相等的区间作为横轴，并将各区间内所测定值依所出现的次数累积而成的面积，用柱子排起来的图形，也叫做柱状图。