Laparoscopic cholecystectomy subtotal resection of the complex clinical analysis of 86 cases.docVIP

 PAGE \* MERGEFORMAT 8 Laparoscopic cholecystectomy subtotal resection of the complex clinical analysis of 86 cases Authors: JIA Ting India, Lee Boon Yang, Yang Jinhua, Wang Liyi [Keywords:], cholecystectomy [Keywords:] Cholecystectomy; laparoscopic; gallbladder disease 0 Introduction I completed a total of 199509/200506 hospital in laparoscopic cholecystectomy (laparoscopic cholecystectomy, LC) 4186 cases, including acute cholecystitis, chronic cholecystitis with acute exacerbation due to repeated Calot triangle ‘frozen’ adhesion 86 cases of gallbladder and other complex and difficult, all the purposes of subtotal laparoscopic surgery and achieved good results. A clinical data The group of 86 (male 39, female 47) patients, aged 36 to 78 (mean 52) years old. In which 36 cases of acute cholecystitis, chronic cholecystitis, 40 patients with recurrent acute exacerbation, cirrhosis with portal hypertension in 10 cases. 86 cases of gallbladder both within the stones. gallbladder wall thicknessamp;gt; 5 mm in 52 cases, 43 cases of gallbladder contraction is full of stones. tracheal intubation with general anesthesia, the patient supine, all of ‘four-hole method’ OK LC. the main steps are as follows: ① the overall observed. laparoscope into the abdominal cavity to detect the entire abdominal cavity after the situation, understand the gallbladder adhesions with the adjacent organs, adhesion properties, especially the gall bladder neck and the adhesion at Calot triangle situation, be aware of. ② separated layer by layer into. electricity hook or Power cut off the external adhesion, close to the gallbladder at the end of body electricity hook or ultrasonic coagulation knife around the separation of the gallbladder adhesions and exposed the gallbladder. When the triangle dense adhesions, or a high degree of edema, we determined that gallbladder subtotal. ③ incision gallbladder stones taken. to power hook in the gallbladder ampulla cut a small hole at the top, st