腹腔镜

This patient underwent laparoscopic adrenalectomy for a large left adrenal mass.

这位病人因为左肾上腺巨大肿物而做了腹腔镜下肾上腺全切术。

22 patients scheduled for laparoscopic adrenalectomy for pheochromocytoma were allocated into epidural plus general anesthesia group and general anesthesia group.

22例腹腔镜嗜铬细胞瘤切除术患者随机分为全麻加硬膜外组和全麻组。

In some hospitals, a laparoscopic adrenalectomy may be offered to the patient, but it has not been established whether this surgical method is better than standard surgery.

有些医院会要求患者做腹腔镜肾上腺切除术，但并没有确切的证据显示这种手术一定比常规手术效果好。

PURPOSE: To compare and evaluate the clinical value between laparoscopic adrenalectomy and open adrenalectomy for adrenal myelolipoma as the treatment of adrenal diseases.

目的：比较与评价腹腔镜与开放手术在治疗肾上腺髓质脂肪瘤中的临床价值。

MATERIALS AND METHODS The clinical data of 47 cases of patients Underwent laparoscopic adrenectomy and 10 cases of patients underwent open adrenalectomy were analyzed retrospectively.

回顾分析47例腹腔镜肾上腺髓质脂肪瘤切除术和开放肾上腺髓质脂肪瘤切除术的临床资料，统计分析这两种术式在手术时间、术中出血量、术后肠功能恢复时间、术后住院时间及并发症发生率等的差异。

Moreover, he said most surgeons are "becoming more adept at performing ALIF with shorter incisions, so they may prefer that approach to laparoscopic surgery, which requires the use of more equipment."

大多数外科医师操作ALIF的经验越来越老道，所需花费的手术时间也愈来愈短，或许因此让他们倾向于使用需要更多仪器协助的腹腔镜手术。

Feb. 10, 2003 In a small randomized study, patients who underwent laparoscopic anterior lumbar interbody fusion spent less time in the hospital and returned to work sooner than patients who underwent open ALIF procedures, according to results reported here at the 70th annual meeting of the American Academy of Orthopaedic Surgeons.

Feb。 10， 2003 -在第70届美国矫形外科学会年会的报告中，有一项小型随机试验的结果显示，以腹腔镜来进行前位腰椎椎体间融合术，患者花在住院与恢复工作能力的时间比传统开放式ALIF手术来得短。

objective to raise the level of regarding congnition,prevention,diagnosis and therapy on multiple organ dysfunction syndrome.methods report the process and correlative therapy on one case who occured with mods involving 6 organs after hemorrhagic shock lead to heartbeat and respiration stopping suddenly and resuscitated resulting in left nephrostome titanium nip falled off accidentally from left kidney lymphatic fastening.at the same time,the author reviewed correlative literature and introduce the investigative progress about mods.results one case who happened with mods following hemorrhagic shock,heartbeat and respiration stopped suddenly was diagnozed and resuscitaed.6 organ dysfuncted including brain,heart,lung,liver,kidney and the digestive system.after being given therapy integrated chinese and western medicines,allopathy and nutritional treatment,all circadian parameters of the case came back in gear and discharged at last.conclusion the mechanism about mods is very complicated.because of serious infection,hurt and oxygen-lack,excessive inflammatery reaction activates multifarious cell factors and inflammatery mediums,which improve the happen-rate of mods.wiping off pathogeny,providing life-sustain treatment and recognising sirs and mods in time and adopting corresponding therapy,such as treatment integrated chinese and western medicines,can improve the hit-rate of cure on mods.

作者：王静恩，蔡金芳，王志华，谢晓洪多器官功能障碍综合征；中西医结合；治疗；休克，出血性目的提高对多器官功能障碍综合征（multiple organ dysfunction syndrome，mods）的认识、预防、诊断、治疗水平。方法报告成功抢救1例经腹腔镜左肾淋巴管结扎手术后左肾静脉钛夹意外脱落失血性休克，导致心跳呼吸骤停复苏后再手术并发mods累及6个脏器功能衰竭过程及有关治疗，并复习相关文献，介绍目前关于mods的研究进展。结果确诊1例因失血性休克心跳呼吸骤停复苏后并发mods，累及脑、心、肺、肝、肾、血液、胃肠等6个脏器。经积极采取中西医结合对症、支持救治，各生理指标全部恢复正常，康复出院。结论 mods的发生机制非常复杂，在严重感染、创伤、缺氧等打击下，失控的过度炎症反应激活多种细胞因子和炎症介质的释放，使mods发生率升高。尽早去除病因，尽早给予各种生命支持治疗，尽早对可能发生全身炎症反应综合征、mods识别并给予干预治疗，包括中西医结合治疗能改善mods的救治成功率。

Objective:To discuss the anaesthetic methods of laparoscopic cholecystectomy.

目的：探讨腹腔镜胆囊切除术的麻醉与手术问题。

Objective:To explore the operating skill of laparoscopic appendectomy.

目的：探讨腹腔镜阑尾切除术的操作技巧。

But we don't care about Battlegrounds.

但我们并不在乎沙场中的显露。

Ah! don't mention it, the butcher's shop is a horror.

啊！不用提了。提到肉，真是糟透了。