腹腔镜

Methods Twelve cases of UPJO （8 men and 4 women;age range, 5-48 years） underwent retroperitoneal laparoseopy-assisted, small incision, dismembered pyeloplasty.

采用后腹腔镜辅助，小切口、放大镜下吻合的离断式肾盂成形术治疗UPJO患者12例。

Laparoscopic pyloromyotomy for infantile hypertrophic pyloric stenosis is safe and feasible.

腹腔镜治疗先天性肥厚性幽门狭窄是安全可靠的。

Objective To review the preliminary experience of laparoscopic pyloromyotomy for infantile pyloric stenosis.

目的 介绍腹腔镜治疗先天性肥厚性幽门狭窄的初步经验。

Methods 8cases severe adherence acute cholecystitis,10cases repeatedly broken out,the gallbladder recrease fibross,2cases of Mirizzi sydrome the chololith occlude the neck of the cyst,the total chole-cystectomy is difficult,partly retain the gallbladder back wall of cyst,the mucosa is damaged by electrotore,partly anat-omize the cyst duct,close the duct in the proper postion.

目的 总结20例腹腔镜胆囊次全切除术的临床应用经验方法 8例粘连严重处于炎症急性期，10例反复发作胆囊壁纤维增厚，2例Mirizzi综合征结石嵌顿在胆囊颈部，强行完整切除胆囊困难，采取保留部分胆囊后壁，残留黏膜予以破坏，部分游离胆囊管，在适当位置关闭胆囊管。

Objective:To evaluate the safety and efficacy of laparoscopicassisted rectectomy under combined general and epidural anesthesia.

目的：评价全麻复合硬膜外麻醉在腹腔镜直肠癌根治术中的应用效果及安全性。

Methods:Forty ASA Ⅰ~Ⅱ patients scheduled for selective laparoscopicassisted rectectomy were randomly divided into two groups:group A and group B.Group A received combined general and epidural anesthesia and group B received general anesthesia only.Hemodynamics changes,PaO2 HCO-3 and anesthetic doses were observed preoperation,perioperation and postoperation.

40例ASAⅠ~Ⅱ级择期行腹腔镜直肠癌根治术的病人，随机分为A组和B组各20例。A组为全麻复合硬膜外麻醉组，B组为单纯全麻组，分别观察两组病人手术期血流动力学变化、血气变化及全麻药用量。

Results:Sixtytwo cases received laparoscopic anterior rectectomy,Fixteen laparoscopicassisted Miles operation.All cases were successfully.

2004年1月至12月，在77例腹腔镜直肠癌根治手术中，采用自制纱块进行擦血、压迫止血、协助暴露术野。

Objective:To observe the effects of patient controlled epidural analgesia with ropivacaine mesilate and fentanyl and patient controlled intravenous analgesia with fentanyl and droperidol on clinical result and blood gas urdergoing laparoscopic rectectomy in aged patients.

目的：观察老年患者腹腔镜直肠癌术后甲磺酸罗哌卡因、芬太尼硬膜外自控镇痛（patient controlled epidural analgesia，PCEA）与芬太尼、氟哌利多静脉自控镇痛（patient controlled intravenous analgesia，PCIA）的临床效果及对血气的影响。

Objective:To observe the effects of patient controlled epidural analgesia with ropivacaine mesilate and fentanyl and patient controlled intravenous analgesia with fentanyl and droperidol on clinical result and blood gas urdergoing laparoscopic rectectomy in aged patients.Methods:Fifty??two patients ASAⅠ?

目的：观察老年患者腹腔镜直肠癌术后甲磺酸罗哌卡因、芬太尼硬膜外自控镇痛（patient controlled epidural analgesia，PCEA）与芬太尼、氟哌利多静脉自控镇痛（patient controlled intravenous analgesia，PCIA）的临床效果及对血气的影响。

Other patients has been observed for two years and none recure. Conclusions: Retroperitoneal laparoscopic adrenalectomy is a standard treatment of curing adrenal tumer. We must select the manner of adrenalectomy, according to the structure of adrenal and the character of tumor.

后腹腔镜下肾上腺肿瘤切除术是治疗肾上腺肿瘤的标准手术，术中应根据肾上腺本身结构及肿瘤的性质决定行肾上腺全切除或仅行肾上腺肿瘤切除术。

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。