腹腔镜

Objective:To discuss the operative method and skill,postoperative curative effect and clinical value of laparoscopic hysteromyomectomy and laparoscopic accessorial hysteromyomectomy.

目的：探讨腹腔镜下子宫肌瘤剔除术和腹腔镜辅助下子宫肌瘤剔除术的手术方法、技巧、术后疗效及临床应用价值。

Methods:The retrospective analysis and comparison were made on the operative method and the clinical index of intraoperation, postoperation between 103 cases underwent laparoscopic hysteromyomectomy and 100 cases underwent laparotomy hysteromyomectomy,also between 18 cases underwent laparoscope accessorial hysteromyomectomy and 20 cases underwent laparotomy hysteromyomectomy.

回顾对比分析腹腔镜子宫肌瘤剔除术103例与开腹子宫肌瘤剔除术100例，腹腔镜辅助下子宫肌瘤剔除术18例与开腹子宫肌瘤剔除术20例的手术方法和术中术后各临床指标。

Objective To introduce a new technique of laparoscopic surgery:laparoscopic intragastric surgery.

目的介绍一种全新概念的腹腔镜手术方式———腹腔镜胃腔内手术。

Result: 57 cases were diagnosed successfully and 50 cases were treated by laparoscopy.

结果：57例通过腹腔镜明确诊断，50例在腹腔镜下得到治疗，8例中转开腹手术。

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

Methods 220 patients of the tripunctures LA were performed by this method from 2000 to 2006. Separating mesoappendix from toil to root by electrocautery, and gaving double ligation to appendix by 7 ligature and removed it.

2000年至2006年应用腹腔镜腔内打结7号丝线结扎阑尾根部，紧贴阑尾电凝分离系膜至根部不结扎阑尾动脉，改良三孔法行腹腔镜阑尾切除术220例。

Abstract］ Objective To evaluate the advantages of laparoscopic total mesorectal excision in the treatment of rectal cancer.Methods Procedure of laparoscopic total mesorectal excision were performed in 8 patients with rectal cancer.

摘要］ 目的评价腹腔镜下直肠癌根治术的优越性方法在腹腔镜下对8例直肠癌实行全系膜切除术并对手术方法和临床效果进行分析。

There were no blood transfusion or serious complication in the study.Conclusions:Retroperitoneal laparoscopic operation,such as adrenalectomy,nephropexy,pelvioplasty,unroofing of renal cyst,pelvilithotomy,ureterdithotomy and spermatic vein ligation,have the advantages of minimai invasion,less blood loss and fewer complications,which is an effective and practical procedure.

后腹腔镜肾上腺瘤切除术、肾固定术、肾盂成形术、肾囊肿去顶术、肾盂或输尿管切开取石术及腹腔镜精索静脉高位结扎术具有创伤小、出血少、并发症少等优点，临床疗效可靠，实用性较强。

Objective: Laparoscopic liver resection is still on the stage of research due to its high difficulty and complexity on operation. There are a lot kinds of methods on the resection, but each method has its advantages and limitations. The operative technique is still immature and the clinical experience is still nonsystematic and insufficient.

目的：由于腹腔镜肝切除是技术复杂、难度极大的一种手术，目前仍处于探索阶段，虽然腹腔镜下切肝的方法很多，但是，各种方法均有特定的优点及局限性，技术仍不够成熟，还难以形成系统的经验与方法。

Results By celioscopic diagnosis, 109 females (54.5%) found ill with chronic pelvic inflammatory disease, 55(27.5%) with endometriosis 18 with phase Ⅰ~Ⅱ, 37 with phase Ⅲ~Ⅳ, 12(6% with polycystic ovarian syndrome, 8(4%) with pelvic tuberculosis and 4(2%) with malformation of internal genitalia. The other 12 ones (6%) had normal pelves.

结果 200例中经腹腔镜诊断为慢性盆腔炎并输卵管病变109例(54.5%)；子宫内膜异位症55例(27.5%)，其中Ⅰ~Ⅱ期的18例，Ⅲ~Ⅳ期的37例；多囊卵巢综合征12例(6%)；盆腔结核8例(4%)；内生殖器畸形4例(2%)；正常盆腔12例(6%)。60例经腹腔镜治疗后妊娠(30%)。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。