腹腔镜

The faciform ligament is an important sign of laparoscopic liver surgery and a way of collateral circulation of liver. The superior liver artery found and named in this research can be an important sign to judge the position of hepatic vein. The operation pathway by cutting down the perihepatic ligament next to the superior border of liver is a quick way with little blood. It is difficult to hurt diaphragm and hepatic vein, and the secundum porta hepatic can be showed clearly. As a rule, we break the hepatic vein in the hepatic parenchyma on laparoscopic hepatectomy. But in some situation, extrahepatic treatment was used.

镰状韧带是腹腔镜肝脏外科入路的重要标志，是肝脏侧枝循环的重要途径；本文所发现并命名的肝上动脉可以作为判定肝静脉位置的重要标志；紧贴肝上缘打开肝周韧带，不易损伤膈肌和肝静脉，出血少、速度快，可以使第二肝门获得良好的手术显露；腹腔镜肝切除时一般在肝实质内切断肝静脉，在个别情况也可以预先在第二肝门结扎切断肝静脉。

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。

Objective To probe into the peritoneoscope and perioperative patient′s psychological condition,thus the psychology of adopting pertinence is intervened,offer basis on which do the peritoneoscope well and enclose the patient′s psychology of operation to attend to further.

目的 探讨腹腔镜围手术期患者的心理状态，从而采取针对性的心理干预，为进一步做好腹腔镜围手术期患者的心理护理提供依据。

Methods 92 patients with the disease of adrenal gland,kidney and urethra were conducted with the posterior peritoneoscope surgery,using the posterior auxiliary line puncturation and dilatation and posterior peritoneoscope technique.

方法采用腋后线上穿刺扩张法后腹腔镜技术对92例肾上腺、肾脏、输尿管疾病患者实施后腹腔镜手术。

As experience gained more, urologists soon found laparoscopic surgery suitable for many complex upper urothelial tract diseases, such as laparoscopic adrenalectomy, partial nephrectomy, pyeloplasty, nephrolithotomy….etc.

当经验逐渐累积后，泌尿科医师发现腹腔镜手术亦适合众多复杂的手术，例如：腹腔镜肾上腺切除术、部分肾脏切除术、肾盂成型术、肾脏截石术…等。

Fallopian tube exchanges one side salpingotomy , another one side but smooth , makes the peritoneoscope operation gestation chance to how big be?

一侧输卵管切除，另一侧输卵管通而不畅，做腹腔镜手术怀孕机会有多大？宫外孕─年后造影显示通而不畅，有粘连，大夫提议1。做腹腔镜。2。做试管婴ㄦ。wo该如何选择。

There were no changes in the hydroperoxides level or the ferric-reducingability for the laparoscopic sigmoidectomy with sevofluraneanesthesia, indicating that this procedure does not increasesurgical oxidative stress.

七氟醚麻醉腹腔镜下乙结肠切除术中过氧化氢水平和铁还原能力没有改变，这表明腹腔镜手术不会增加手术的氧化应激反应。

METHODS: We measured levels of blood hydroperoxides as an indexof oxidative injury of cellular components, as well as plasmaferric-reducing ability as an index of total antioxidant potential,during sigmoidectomy under four conditions: open sigmoidectomywith sevoflurane anesthesia, laparoscopic sigmoidectomy withsevoflurane anesthesia, open sigmoidectomy with propofol anesthesia,and laparoscopic sigmoidectomy with propofol anesthesia.

在四种不同麻醉方法下乙状结肠切除术中，测定血液中的过氧化氢水平作为细胞氧化损伤的指标，以及血浆铁还原能力作为总抗氧化潜力的指标：七氟醚麻醉开腹乙状结肠切除术，七氟醚麻醉腹腔镜下乙状结肠切除术，异丙酚麻醉开腹乙状结肠切除术，异丙酚麻醉腹腔镜下乙状结肠切除术。

Methods:Twelve patients were performed LS with ultrasonic scalpel,among whom four patients got hypersplenism,seven had spleen trauma,and one got splenoma.

应用腹腔镜结合超声刀行脾切除12例，其中脾亢4例，外伤脾7例，脾肿瘤1例，均在全麻下实施腹腔镜手术。

The operation time, the volume of blood and rate of sickness afier operation among the group of transfixion on the parauteri, the group of freeing vessel and the group of associating perineum by laparoscope were compared.

回顾性分析23例腹腔镜下全子宫切除术中子宫静脉的处理方法、分析宫旁缝扎组与血管游离后处理组及腹腔镜联合阴式子宫切除组的手术时间、术中出血量及术后发病率。

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。