305 cases of laparoscopic cholecystectomy and analysis of the clinical study.docVIP

 PAGE \* MERGEFORMAT 11 305 cases of laparoscopic cholecystectomy and analysis of the clinical study [Abstract] Objective: To evaluate the analysis of laparoscopic cholecystectomy (laparoscopic cholecystectomy, LC) in the choice of surgical indication, Calot triangle anatomy, surgical operation, pay attention to problems and the prevention of complications. Methods: This article will summarize the author in the study period and in October 2006 ~ April 2008 to carry out LC patients in our hospital 305 patients with clinical data, have adopted a ‘four-hole method’ the completion of surgery. Results: 305 patients were cured, transit laparotomy in 1 case, accounting for 0.33%. At the same time associated with other operations, such as appendectomy in 1, ovarian cyst resection in 1 case. This group no cases of death and serious complications occur. Conclusion: The use of laparoscopic cholecystectomy injury, quick recovery and reduce the incidence of adhesion, a good sense of Biliary Surgery, the scientific method is to avoid the anatomy LC intraoperative bile duct injury. [Keywords:] Laparoscopy; cholecystectomy; Calot triangle This article will review the author studies Minimally Invasive Surgery Center in Tianjin during and in October 2006 ~ April 2008 in our hospital carried out 305 cases of laparoscopic cholecystectomy in patients with clinical data, the choice of surgical indications, Calot triangle anatomy, surgical operation, pay attention to issues and the prevention of complications of discussion and analysis. A clinical data 1.1 General Information A total of 305 cases of this group of patients, of which 89 cases of male and female 216 cases, aged 18 to 74 years, with an average 46 years of age, duration from 6 months to 12 years. 289 cases of chronic calculous cholecystitis, acute cholecystitis in 14 cases, gallbladder polyps in 2 cases. Coexistence of three cases of the disease of hypertension, coronary heart disease in 2 cases, diabetes and 1 ca