阑尾系膜

Methods:"JIN's knot"was applied in dealing with duct of gallbladder,blood vessel of gallbladder,mesoappendix and remnant of appendix in laparoscopic cholecystectomy and appendectomy.

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。结果：58例中除3例坏疽性阑尾炎因根部

Methods Based on the standard LC instrument and assistant with the needle-type instrument, the 3 cuts were 0.2cm, 0.5cm and 1.0cm respectively .According to the characteristics of blood distribution of appendix, the operator cut off the mesoappendix press close to the appendix through electrocision.

采用标准腹腔镜器械的基础之上，应用针式器械辅助，三个切口分别为0.2cm、0.5cm、1.0cm；根据阑尾血管分布的特点，贴近阑尾电切其系膜，不必套扎或用钛夹处理阑尾血管。

Methods 220 patients of the tripunctures LA were performed by this method from 2000 to 2006. Separating mesoappendix from toil to root by electrocautery, and gaving double ligation to appendix by 7 ligature and removed it.

2000年至2006年应用腹腔镜腔内打结7号丝线结扎阑尾根部，紧贴阑尾电凝分离系膜至根部不结扎阑尾动脉，改良三孔法行腹腔镜阑尾切除术220例。

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。

Methods Operating trocars （5mm） were chosen for the surgery with electric coagulation on appendix mesenterium without titanium clip.

手术操作孔均用5mm套管，阑尾系膜用电凝法，无需钛夹。

Breath, muscle contraction of the buttocks; arch body, as far as possible to hold his head, right leg straight towards the ceiling (peg-leg knee in order to avoid muscle tension).

呼气，收缩臀部肌肉；拱起身体，尽量抬起头来，右腿伸直朝向天花板（膝微屈，以避免肌肉紧张）。

The cost of moving grain food products was unchanged from May, but year over year are up 8%.

粮食产品的运输费用与5月份相比没有变化，但却比去年同期高8％。