Old Porcelain Gallbladder surgery in 59 cases of laparoscopic treatment of.docVIP

 PAGE \* MERGEFORMAT 6 Old Porcelain Gallbladder surgery in 59 cases of laparoscopic treatment of Study: Jiang Haiyan Wang Quanxiong Huang Dongfeng Our hospital from July 2004 to November 2008 were completed LC416 cases, including 59 cases of cystic hyperplasia, is reported as follows: 1 General Information The group of 59 patients, 33 males and 26 females, aged 58-77 years, mean 64.8 years old. 2 years -13 years of history of .59 patients were acute or chronic cholecystitis and gallbladder stones, in varying degrees of right upper quadrant pain and fullness quarter rib discomfort zone. In which 17 patients with mild impairment of liver function. 35 cases with complications : 13 cases of diabetes, hypertension in 17 cases, frequent premature beats in 1 case, 1 case of myocardial infarction, 2 cases of asthma, emphysema, 1 case 11 cases of liver cirrhosis, anemia in 5 cases. patients with previous history of surgery in 13 cases. 2 surgical methods 2.1 to correct anemia and hypoproteinemia, concerns water and electrolyte imbalance, treatment for other diseases combined, to be medically stable for 2-3 days after surgery. On the tube and the catheter before surgery, fasting 12h. Intubation anesthesia under the operation. conventional position, pneumoperitoneum pressure 13mmHg. with three holes 42, four-hole method in 17 cases. 2.2 by 59 patients thickened gallbladder swelling, non-invasive grasping forceps can not clamp. 1 patients because of no operating experience and direct transfer. I first use needle aspiration in patients with gallbladder bile, and then electric coagulation cautery hook in the gallbladder puncture site a small hole, insert the suction exhaust bile. At this time grasping forceps to grasp the anatomy of the gallbladder gallbladder Triangle. 22 cases of 59 patients in the anatomy of the cystic duct and cystic artery, 36 cases because of dense connective tissue proliferation of gallbladder without tri