60 cases of laparoscopic cholecystectomy Clinical Experience.docVIP

 PAGE \* MERGEFORMAT 6 60 cases of laparoscopic cholecystectomy Clinical Experience Study: LI Bao-hua, DENG Jing Rui, single pine [Keywords:] Clinical experience with laparoscopic cholecystectomy Our hospital in May 2007 to February 2009 were carried out between 60 cases of laparoscopic cholecystectomy, the report is as follows. 1 Clinical data 1.1 General Information 60 patients, male 36 cases, female 24 cases. Aged 27 to 76 years, mean age 51 years. 5 patients with acute cholecystitis, chronic cholecystitis and gallbladder stones, 46 cases of gallbladder polyps in 9 patients. 1.2 Procedures All 60 patients intubated with endotracheal anesthesia, the patient supine head pupil low left-leaning position, with three holes, that is, cut three small incisions in the abdomen, that (A) holes: the edge of the vertical cut of a length below the belly button 10 mm incision, with a towel clamp to live on both sides of the skin incision, the incision on both sides of abdominal wall lift, along with a Veress needle piercing the abdominal incision, feeling a sense of two breakthrough, the 5 mL syringe containing saline connected to the Veress needle, and pulled out the inner core, such as the Veress needle has entered the abdominal cavity into the abdominal cavity with normal saline to their own, then connect the carbon dioxide pneumoperitoneum catheter and started the slow first gas injection, per minute, about 1 ~ 2 L, and then gradually increase the flow rate per minute 5 ~ 8 L, intra-abdominal pressure should be maintained at between 12 ~ 14 mmHg in order to meet the surgical needs; pneumoperitoneum is established, the Veress needle pulled out, once again bring both sides of the abdominal wall, in the hole 10 mm cone sheath insertion, pull out the needle cone, connected pneumoperitoneum catheter, the preheating of the laparoscopic sleeve sheath into the abdominal cavity, connecting camera and monitoring system to observe the situation in the abdo