腹腔镜

Laparoscopic or retroperitoneoscopic adrenalectomy is now considered superior to open surgery and becomes a new gold standard for functional adrenal tumor.

腹腔镜或后腹腔镜肾上腺切除术已经被证实是一种较优於传统开刀的手术方式，而且也成为了肾上腺功能性肿瘤之新治疗准则。

No cases had complication. Fiber colonoscopy could put accurately to cacinoma during laparoscopic resection of colorectal carcinoma. It could raise the rate of success in operation, and pledge the quality of anastomose, and fetch up the defect in laparoscopic resection.

纤维结肠镜配合腹腔镜结直肠癌手术，有助于结直肠病灶及切缘的准确定位，在提高手术成功率的同时，保证肿瘤的根治性和吻合质量，弥补了腹腔镜手术的缺陷。

Such areas of endometriosis can be seen and obliterated by cauterization via laparoscopy.

此种子宫内膜异位症可以通过腹腔镜观察到并可通过腹腔镜烧灼治愈。

Methods:Forty patients with chronic calculus cholecystitis and polypus of cholecyst randomly diveded into two groups,and treated each group with MLC and LC respectively.

HTH〗方法：随机将慢性结石性胆囊炎和胆囊息肉40例分成两组，分别施行二孔微型腹腔镜胆囊切除术和三孔腹腔镜胆囊切除术。

The hospital owns superior equipments, such as CT of whole body, automatic biochemical analyzer, automatic hemocytometer, colorful type-B ultrasonic, 800mA X-ray machine, laparoscope, imported electronic gastroscope and intestinscope, cataract ultrasonic emulsification treatment instrument, cheilopalatoschisis repair instrument,diagnostic analyzer of cardiac, cerebral and vascular diseases, first-aid and guardian system, supersonic diagnosing system, equipment of physical treatment and other advanced equipments.

医疗设备先进，拥有进口全身CT机、全自动生化分析仪、免疫化学发光仪、全自动凝血仪、全自动血球计数仪、彩色B超、800mA X光机、腹腔镜、进口电子胃肠镜，白内障超声乳化治疗仪、阴道镜、体外冲击波碎石机、前列腺汽化电切镜、输尿管肾镜、膀胱镜、前列腺汽化电切镜、气压弹道碎石机、心脑血管疾病诊断分析仪、急诊抢救监护系统、超声诊断系统及理疗康复设备等一系列大中型先进设备。临床诊断和治疗具备科学先进手段。

Celiac lens gallbladder is excised is to be in lens of TV abdominal cavity is orthoptic below, use special weapon or enter through celiac wall small cut cystic resection applies inside abdominal cavity, do not have a stomach, scar is little, anguish is small, complication is little, operation time is short, restore to wait for an advantage quickly, now already by clinical and wide application.

梗概： 腹腔镜胆囊切除是在电视腹腔镜直视下，利用非凡器械或通过腹壁小切口进入腹腔内施行胆囊切除术，具有不开腹，创伤小，痛苦小，并发症少，手术时间短，恢复快等优点，现已被临床广泛应用。

The abdominal wall in the left lower quadrant, 2 finger breadths (3 cm) cephalad and 2 finger breadths medial to the anterior superior iliac spine, has been shown to be thinner and with a larger pool of fluid than the midline and is usually a good choice for needle insertion for performance of a therapeutic paracentesis.27 The right lower quadrant may be a suboptimal choice in the setting of a dilated cecum or an appendectomy scar.

在过去，常常将腹部正中线耻骨与肚脐中间定为穿刺点，现在，由于腹腔穿刺引流大量液体以及腹中部脂肪厚度增加，左下腹成为腹腔穿刺部位（表1），在左下腹部中线至髂前上棘连线上2指宽（3cm）与距髂前上棘2指宽，已经显示较中部脂肪少及腹水较多是治疗性腹腔穿刺好的首选部位27，在盲肠有扩张或阑尾切除术后瘢痕时右下腹是次选的穿刺部位，应避开腹壁下动脉，这些血管走行在耻骨与髂前上棘之间的中线然后在腹直肌中向上行走，，腹壁可见的侧支循环亦应该避开，腹腔镜检查发现侧支循环可出现在中线并且在腹腔穿刺时有导致血管破裂的风险28。

Methods:The clinical data of twenty nine patients with common bile duct calculi underwent laparoscopic choledochotomy and primary ductal submucosa closure without routine T tube drainage was retrospectively analyzed.

应用腹腔镜手术设备及纤维胆道镜为29例胆总管结石患者行腹腔镜胆总管切开取石术，不置T管引流，一期缝合胆总管壁。

Result: Seven cases were showed local adhesion between intestines;omenta and abdominal wall. One case was entensive adhesion in abdominal cavity . Five patients were performed laporoscopic operation successfully while one case had intestinal impairment and was converted to laparotomy.

结果：气腹造影CT扫描7例均清晰显示肠管、网膜与腹壁切口局限性的粘连，其余区域未见粘连，1例为腹腔弥漫性广泛粘连。5例实施腹腔镜手术均顺利，腹腔镜手术所见与术前判断完全吻合，仅1例发生1处肠管损伤。

Clinical data and Methods: Laparoscopic left colectomies carried out in the Department of General Surgery, Nanfang Hospital from 2003 to 2004, on 15 left colonic cancer patients were observed and analyzed on the anatomical natures of fascias posterolateral, middle to the left colon, posterolateral to the rectum, as well as the laparoscopic location markers.

临床资料和方法：2003~2004年南方医院普通外科施行的腹腔镜左半结肠切除术15例，病例均为左半结肠癌。对腹腔镜下左半结肠后外侧、中线侧和直肠后外侧相关筋膜的解剖特点和镜下定位标志进行观察和描述。

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。