Laparoscopic cholecystectomy with surgical experience.docVIP

 PAGE \* MERGEFORMAT 9 Laparoscopic cholecystectomy with surgical experience Keywords: Laparoscopy; cholecystectomy; operation with the Laparoscopic cholecystectomy (LC) is a new surgical technology, which with the traditional open surgical, compared with less trauma and faster recovery, the advantages of small incision, excellent care with the success of the surgery and Patients an important part of rehabilitation after the successful [1]. Our hospital from June 2003 to February 2006 for adoption of laparoscopic cholecystectomy in 184 cases of patients with surgical experience will now be reported as follows. A clinical data 184 cases of patients in this group, 76 cases were male and female 108 cases, aged 17 to 78 years, with an average age of 51 years. There are 171 cases of successful laparoscopic cholecystectomy, after 6 h to get out of bed in hospital 3 d discharged. There are 13 cases of transit laparotomy surgery, 1 week later discharged. 2 Operation with the 2.1 Preoperative prepare items Preoperative preparation items are: ① conventional surgical instruments using high-pressure steam sterilization bag; ② cable, wire electrocoagulation, CO2 pneumoperitoneum connecting pipe, insulation cup fumigation with 2% alkaline glutaraldehyde 4 h; ③ dedicated laparoscopic equipment: pneumoperitoneum needle, 0 ° or 30 ° camera lens, 5 mm and 10 mm tube puncture the two cones, conversion casing, coagulation hook, no-tooth grasping forceps, separating pliers, scissors, suction head, titanium clamp, Large gallbladder grasping forceps, etc., in the preoperative with 2% alkaline glutaraldehyde disinfectant 10 h; ④ laparoscopic equipment: monitors, camera systems, cold light source, CO2 pneumoperitoneum in patients placed on the right side of machine, electric knives, wash to attract patients who are placed in the left, connected to the power to check whether normal operation; ⑤ supply thereafter sterile sleeve, titanium