腹腔镜胆囊切除联合其他脏器手术40 例临床报告.pdfVIP

第 33 卷第 3 期 南华大学学报·医学版 2005 年 7 月 ( ) Vol. 33 No. 3 Journal of Nanhua University Medical Edition Jul. 2005 　 腹腔镜胆囊切除联合其他脏器手术 40 例临床报告 李安文 ,卢先州 , 曾明康,周筱筠 , 卜双龙,彭秀达 (南华大学 附属南华医院 ,湖南 衡阳 421002) 摘 　要 : 目的 　探讨腹腔镜胆囊切除术联合腹腔其他脏器手术的临床应用价值。方法 　回顾分析 40 例腹腔镜胆囊切除联合腹腔其他脏器手术的临床资料。其中联合胆管切开取石术 10 例 ;联合阑尾 切除术 16 例 ;联合肝囊肿去顶开窗术 6 例 ;联合卵巢囊肿切除术 3 例 ;联合胃肠穿孔修补术 5 例。先常 规行腹腔镜胆囊切除 ,再完成腹腔其他脏器手术。观察联合手术的临床效果。结果 　40 例腹腔镜胆囊 切除联合其他脏器手术均顺利康复 ,无 1 例出现并发症。结论 　腹腔镜胆囊切除联合其他脏器手术安 全、可行 ,且经济有效 ,显示微创外科技术的巨大优越性 ,值得临床应用推广。 关键词 : 腹腔镜 ; 　手术 ; 　联合切除 ( ) 中图分类号:R657. 4 　　　文献标识码 :B 　　　文章编号 :1672 - 7444 2005 03 - 0393 - 02 Cholecystectomy and Other Operations on the Abdomen by Laparoscope :A Clinical Report of 40 Cases LI An - wen , LU Xian - zhou , ZENG Ming - kang ,et al ( Nanhua Hospital Affiliated to Nanhua University , Hengyang , Hunan 421002 , China) Abstract :Objective 　To determine the value of clinical application of cholecystectomy and other operations on the abdomen by laparoscope. 　Methods 　Clinical data in 40 patients for cholecystectomy and other operations on the abdomen by laparoscope were retrospectively analyzed. Among 40 patients , cholecystectomy and the operation for sectioning bile duct and calculus removed were performed in 10 patients , cholecystectomy and appendectomy were performed in 16 patients , cholecystectomy and the operation for truncation and windowing of hepatic cyst were performed in 6 patients , cholecystectomy and oophorocystectomy were performed in