胆囊切除术

Methods:Forty patients with chronic calculus cholecystitis and polypus of cholecyst randomly diveded into two groups,and treated each group with MLC and LC respectively.

HTH〗方法：随机将慢性结石性胆囊炎和胆囊息肉40例分成两组，分别施行二孔微型腹腔镜胆囊切除术和三孔腹腔镜胆囊切除术。

Objective:To study the effect of laparoscopic cholecystectomy and open cholecystectomy.

目的：对腹腔镜胆囊切除术与传统胆囊切除术的疗效进行比较。

MLC with three ports: one 10-mm umbilical port, one 5-mm subxiphoid port, and one 2-mm port in the right subcostal position. LC with four ports: one 10-mm umbilical port, one 10-mm subxiphoid port, and two 5-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 explore clinic application of endoscopic retrograde cholangiopancreatography combined with laparoscopic cholecystectomy for the treatment of the cholecystic stone combined bile duct disease.

目的 探讨逆行胰胆管造影术联合腹腔镜胆囊切除术对胆囊结石伴胆管病变治疗的临床应用方法 27例胆囊结石伴胆道病变患者，先用ERCP、乳头切开术取石；或ERCP和鼻胆管引流及柱状气囊扩张术治疗，术后3～11天，患者无发热、腹痛，血淀粉酶正常，再按常规四孔法施行LC。

To prevent cholelith in residual gallbladder, it is important to choose the proper timing and mode of cholecystectomy, to anatomize cystic duct, common hepatic duct, common duct clearly and cut cystic duct 0.3~0.5cm apart from common duct.

合理掌握胆囊切除术的手术时机、和术式，在术中解剖清楚胆囊管、肝总管、胆总管三管关系，然后距胆总管0.3~0.5cm切断结扎胆囊管，是预防残余胆囊结石的关键。

Gasless laparoscopy was applied to reduce the incidence of complications due to pneumoperitoneum of conventional laparoscopy in a series of abdominal operation (n=53) including proctocolectomy, cholecystectomy, appendectomy, repair of perforated peptic ulcer, hepatic abscess drainage and closure of inguinal hernial ring.

为减少传统腹腔镜术气腹引起的并发症，采用非气腹腹腔镜术完成腹部手术53例，包括结直肠癌根治术、胆囊切除术、肝脓疡引流术、溃疡病穿孔修补术、阑尾切除术、腹股沟斜疝内环修补术。

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。

objective:The summary peritoneoscope gallbladder excision method clinical experience, enhances the peritoneoscope gallbladder excision method the clinical observation and nursing ability.

目的：总结腹腔镜胆囊切除术的临床经验，提高腹腔镜胆囊切除术的临床观察与护理能力。

objeetive:discusses the gallbladder majority of excisions in the biliary duct surgical department's application value.

268例急性胆囊炎腹腔镜胆囊切除术治。。。腹腔镜胆囊切除术中胆囊动脉的预防和。。。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。