上腹部手术后行腹腔镜胆囊切除术的临床分析

Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)(2009)

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Abstract
目的探讨上腹部手术史患者行腹腔镜胆囊切除术(laparoscopic chole-cystectomy,LC)的可行性和手术特点。方法回顾分析53例上腹部手术史患者行LC的临床资料。结果53例中成功完成LC49例,中转开腹4例,患者均治愈,LC成功率92.5%。结论有上腹部手术史者行LC是安全可行的,术前的评估、气腹的建立、穿刺孔的选择、黏连的分离应予以注意。
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Key words
laparoscopic,Reoperation,Cholecystectomy,Adhesion
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