Laparoscopic cholecystectomy basic hospital clinical experience of 1216 cases.docVIP

 PAGE \* MERGEFORMAT 10 Laparoscopic cholecystectomy basic hospital clinical experience of 1216 cases [Abstract] Objective To summarize the experience of laparoscopic cholecystectomy. Methods in our hospital in October 2002 ~ December 2009 laparoscopic cholecystectomy (LC1216 cases. Results After preoperative, intraoperative and postoperative correct treatment and treatment, all patients were cured. Conclusion Laparoscopic cholecystectomy, the right to master surgical indications, timing and indications for laparotomy, master laparoscopic technique, attention to each surgery to avoid complications, thereby improving success rate. [Keywords:] primary hospital experience of laparoscopic cholecystectomy Laparoscopic cholecystectomy (LC with less trauma, less pain, rapid recovery, etc., have become the treatment of benign gallbladder diseases, the gold standard, has also been accepted by the majority of patients. Now in our hospital from October 2002 to 2009 December to carry out the clinical experience of 1216 cases reported as follows LC. 1 Materials and Methods 1.1 Clinical data set of 1216 cases of the 497 cases of male and female 749 cases. Aged 14 to 89 years old, average 47.3 years old. Including acute calculus cholecystitis and chronic cholecystitis acute sent 415 cases of chronic cholecystitis and gallbladder stones 712 cases, 89 cases of gallbladder polyps. 1.2 The surgical anesthesia with tracheal intubation group of 78 patients, continuous epidural anesthesia plus 1,138 cases of combined intravenous anesthesia using the conventional four-hole method. The operation time 26 ~ 92min, an average of 58min, gas abdominal pressure 10 ~ 14mmHg. Preoperative were routinely do blood, urine routine, liver and kidney function, electrolytes, coagulation complete, electrocardiogram, chest radiograph, abdominal ultrasound and other conventional checks. anesthetic work after the first establishment of pneumoperitoneum, the establishmen