Laparoscopic cholecystectomy analysis of 151 cases.docVIP

 PAGE \* MERGEFORMAT 5 Laparoscopic cholecystectomy analysis of 151 cases [Keywords:] Laparoscopy; cholecystectomy Laparoscopic surgery is the direction of development of the study, particularly grass-roots county-level hospitals, laparoscopic surgery is important, it reduces the surgical trauma, but also surgeons goal. Minimally invasive surgery has the advantage of a small surgical scar, less postoperative pain, promote early rehabilitation after surgery, but also to reduce the patient’s treatment costs and hospital stay, save a lot of medical expenses, economic and social benefits achieved. Since August 2008, four-hole course implemented by the umbilical laparoscopic cholecystectomy has surgery 14 months 151 cases were completed, are as follows. 1 Materials and Methods 1.1 General Information August 2008 -2009 In October, the Division completed a total of four holes by umbilical 151 cases of laparoscopic cholecystectomy, including 42 males and 109 cases of women. Patients aged 26 to 51 years old, 115 cases of gallstone disease , gallbladder contraction in 2 cases, 34 cases of gallbladder polyps. All the cases are self laparoscopic cholecystectomy patients were screened, no recent episode of acute cholecystitis and patients have a laparoscopic cholecystectomy requirements. 1.2 preoperative surgical preparation and general anesthesia, take the upper edge of the umbilicus through a small incision about 2cm into the umbilical trocar incision to create pneumoperitoneum, remove the core needle, insert the laparoscope, and the TV is connected; 2 incision under the xiphoid 4cm cut a small incision; 3 incision in the right costal margin of the mid clavicular line; 4 incision in the right anterior axillary line trocar was inserted into the abdomen, neck dissection revealed gallbladder and the cystic artery, with a titanium clip clamped cystic duct and cystic artery, and cut, remove the gallbladder, the conventional cut-off hole and wound closure was sig