腹胆囊的

Cases of caput pancreatis cancer were diagnosed by ultrasound examination, the rate of accuracy was 60%.

其中最常见的胆总管结石42例，胆总管癌9例，胰头癌5例，肝门胆管癌、胆囊癌、壶腹癌各1例。

Methods We randomly assigned 410 patients with locally advanced or metastatic cholangiocarcinoma, gallbladder cancer, or ampullary cancer to receive either cisplatin (25 mg per square meter of body-surface area) followed by gemcitabine (1000 mg per square meter on days 1 and 8, every 3 weeks for eight cycles) or gemcitabine alone (1000 mg per square meter on days 1, 8, and 15, every 4 weeks for six cycles) for up to 24 weeks.

我们将有局部晚期或转移性胆管癌、胆囊癌或壶腹癌的410例病人随机分为两组：一组先接受顺铂（25 mg/m2体表面积）治疗后再接受吉西他滨（1000 mg/m2，第1天和第8天，每3周为1个周期，共8个周期）治疗，另一组接受单纯吉西他滨（1000 mg/m2，第1、8和第15天，每4周为1个周期，共6个周期）治疗，最多治疗24周。

High mutation rate of K-ras codon 12 wasobserved in gallbladder carcinoma(60%),bile ductcarcinoma(81.8),ampullary carcinoma(90%) and duodenalcarcinoma(70%).

在胆囊癌、胆管癌、壶腹癌及十二指肠乳头癌中均检测到了高比率的K-ras基因12密码子的点突变。

Objective:To explore the feasibility of nonclosure and suture gallbladder stump after the subtotal laparoscopic cholecystectomy with residual gallbladder ampullae and cystic duct.

目的：探讨残留部分胆囊壶腹或困难胆囊行腹腔镜胆囊大部切除术不闭锁缝合胆囊残端的可行性。

CDRS and damage of biliary tract can be avoided after nonclosure and suture gallbladder stump in the subtotal laparoscopic cholecystectomy reserving gallbladder ampullae and cystic duct.Bile leakage can be cured after shorttime prophylactic drainage.

Calot三角解剖困难时残留部分胆囊壶腹或胆囊管的腹腔镜胆囊大部切除术，术中不闭锁缝合胆囊残端可以避免发生CDRS及误伤肝外胆管等，出现胆漏经过短期持续腹腔引流后可自愈。

Results It was shown that the main factor leading to transecting the ducts might lie in anatomic or pathologic alteration or anomaly of ductal system at Calot's triangle, thereby the common bile duct might be mistaken for the cystic duct which was to be clipped and cut in procedure.

严格掌握手术适应证，沿胆囊壶腹向下分离，仔细辨别Calot三角解剖结构，术中始终想着Calot三角解剖结构存在的变异，避免盲目自信、莽撞行事是预防肝外胆管横断损伤的关键。

Methods A total of 30 patients receiving open cholecystectomy under the general anesthesia and epidural anesthesia in our hospital were selected.The right internal jugular vein and femoral vein catheterization was performed after the anesthesia induction and intubation to continuously monitor CVP and the inferior vena cava pressure.Meanwhile, the changes in CVP, MAP, HR, IVCP before abdominal opening,upon pulling gallblad-der as well as 5 min, 10 min and 15 minutes after the opening of deep retractors were observed, recor-ded and compared.

选择在全麻加硬膜外麻醉下开腹胆囊切除手术病人30例，麻醉诱导插管后行右颈内静脉和股静脉穿刺置管，连续监测CVP和下腔静脉压，观察并记录开腹前、牵拉胆囊时、深部拉钩牵开后5、10、15 min及关腹后CVP、MAP、HR、IVCP的变化，并进行显著性检验。

However, as the name（read－only memory）implies, CD disks cannot be written onorchanged in any way.

然而，正如其名字所指出的那样，CD盘不能写，也不能用任何方式改变其内容。

Galvanizes steel pallet is mainly export which suits standard packing of European Union, the North America. galvanizes steel pallet is suitable to heavy rack. Pallet surface can design plate type, corrugated and the gap form, satisfies the different requirements.

镀锌钢托盘多用于出口，替代木托盘，免薰蒸，符合欧盟、北美各国对出口货物包装材料的法令要求；喷涂钢托盘适用于重载上货架之用，托盘表面根据需要制作成平板状、波纹状及间隔形式，满足不同的使用要求。