腹腔镜

Objective To study the value of laparoscope in the diagnosis and treatment of high cryptorchidism.

目的 探讨腹腔镜在高位隐睾诊断和治疗中的价值。方法腹腔镜下对 19例 2 1侧睾丸进行腹腔探查、睾丸下降固定术。

Results There's little difference in the operational complicated disease,A-class healing rate of the cut,gut response,use of sedative,the first out-bed activity time after operation and anal exsufflation after operation.

结果 两组手术并发症、切口甲级愈合率、胃肠道反应、使用镇静剂、术后第1次下床活动时间、术后肛门排气时间差异无显著性；小切口剖腹组进入腹腔时间、手术时间较腹腔镜组少，小切口剖腹组费用较腹腔镜组低。

Results There's little difference in the operational complicated disease,A-class healing rate of the cut,gut response,use of sedative,the first out-bed activity time after operation and anal exsufflation after operation.The entry into the venterimus and operation of the small-cut ventrotomy takes less time than the celioscopeoperation does,and the cost of the former is lower.

结果 两组手术并发症、切口甲级愈合率、胃肠道反应、使用镇静剂、术后第1次下床活动时间、术后肛门排气时间差异无显著性；小切口剖腹组进入腹腔时间、手术时间较腹腔镜组少，小切口剖腹组费用较腹腔镜组低。

"One advantage of doing minilaparotomy as opposed to laparoscopy is that you're able to suture the uterine defect closed in a myomectomy in the classic three-layered fashion," said Dr. Glasser, emphasizing the reduced risk of scar rupture in childbirth."The other advantage is you're able to palpate the uterus and feel small fibroids that ordinarily could not be felt or recognized with a laparoscopic approach."

Glasser医师进一步指出，相对於腹腔镜手术法，小型腹腔手术的一个优点是，在去除肌瘤后，可以使用传统的三层法缝合子宫所留下的伤口；如此一来，可以将分娩时所造成的破裂性疤痕降至最低限度；另一个优点是，藉由小型腹腔手术，可以做子宫触诊，并可触摸到小块的纤维瘤，而这一点是腹腔镜手术法所做不到的。

Objective To probe the effect of treatment and operative means of choledocoscopy.Methods 34choledocholithasis patients were treated by cholecystectomy and choledochotomy under laparoscopy combined with fibro-optic choledocoscopy,and one-stage suture or T-shaped-tube drainage.

目的 探讨腹腔镜联合纤维胆道镜治疗胆总管结石的治疗效果及手术方式方法对34例胆总管结石患者在腹腔镜下行胆囊切除、胆总管切开、纤维胆道镜取石后行期缝合或T管引流。

Both gasless laparoscopy and conventional laparoscopy are suitable options for uterine myomectomy. However, gasless laparoscopy exhibits more advantages than conventional laparoscopy.

悬吊式无气腹腹腔镜与传统腹腔镜均能成功地进行子宫肌瘤的切除，但是悬吊式无气腹腹腔镜在子宫肌瘤切除术方面显示出更多的优势。

Materials and Methods: Campare gasless hand-assisted laparoscopic surgery, carbon dioxide pneumoperitoneum laparoscopic surgery and operation on Cholecystectomy, colorectal resections, according to the study of operation time, expense in hospital, number of days, pathologic type, extension of radical cure, and analysis of the blood lymphocytes, immune function of erythrocyte, we could ascertain the application value of gasless hand-assisted laparoscopic surgery.

材料与方法：对比研究非气腹手助腹腔镜手术、CO_2气腹腹腔镜手术及开腹手术，从早期的胆囊切除手术的临床应用过渡到结直肠癌根治手术，分别从手术时间、住院费用、住院天数、病理分型、根治范围等进行对比研究，然后从人体外周血淋巴细胞、红细胞等免疫功能方面作进一步分析，以确定非气腹手助腹腔镜手术在临床中的应用价值。

In the process of colorectal cancer resections, gasless hand-assisted laparoscopic surgery had obvious difference with carbon dioxide pneumoperitoneum laparoscopic surgery and operation on operation time, expense in hospital, number of days, pathologic type, extension of radical cure, and analysis of the blood lymphocytes, immune function of erythrocyte because gasless assisted laparoscopic surgery had litter disturb, litter wound, in litter pain, fast function recover, litter complications and hospital stay days.

在结直肠癌手术中，非气腹手助腹腔镜手术、CO_2气腹腹腔镜手术和开腹手术比较，其在手术时间、住院费用、住院天数、病理分型、根治范围等方面有明显差异，非气腹手助腹腔镜手术对机体干扰少，创伤少、术后疼痛轻、功能恢复快、术后并发症少、住院时间短。

Methods: 50 patients with gastrointestinal tumors and megacolon were staged by diag nostic laparoscopy and LUS,and treated by laparoscopic surgery.

对50例胃肠道肿瘤等病变采用腹腔镜超声进行前瞻性肿瘤分期诊断，结合腹腔镜超声刀开展腹腔镜胃肠手术治疗。

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。

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。