Primary hospital 280 cases of laparoscopic cholecystectomy in the report.doc

 PAGE \* MERGEFORMAT 7 Primary hospital 280 cases of laparoscopic cholecystectomy in the report Of: Zhang Hao, SEO Hyo, Lisu Jie, Li Hao [Keywords:] hospital, laparoscopic cholecystectomy Laparoscopic cholecystectomy (LC because of trauma, quicker recovery, less pain, shorter hospital stay, etc. and become the preferred method of gallbladder benign disease. In our hospital from May 2007 ~ July 2009 under the guidance of the hospital at a higher level carried out a total of 280 cases of laparoscopic cholecystectomy and achieved good results, are as follows. Materials and Methods 1. General Information The group of 280 cases, 126 cases were male, 154 female, aged 22 to 81 years, average 52.5 years old. A history of up to 32 years and the shortest 2 days. Gallstones 192 patients with chronic cholecystitis, cholelithiasis with acute cholecystitis ( including stone impaction and suppurative cholecystitis in 66 cases, 22 cases of gallbladder polyps. with previous abdominal surgery on 5 cases, 38 cases of diabetes mellitus, hypertension in 76 cases, 10 cases of chronic bronchitis, 38 cases of abnormal ECG. Preoperative urine routine, liver and kidney function, blood coagulation, abdominal B ultrasound, ECG, chest X-ray and so the whole routine inspection. there were 10 cases of preoperative liver function in patients with mildly elevated or common bile duct zymography expansion (0.9 cm ~ 1.2 cm, are to the superior bile duct pancreatic duct hospital magnetic resonance angiography (MRCP exclude choledocholithiasis underwent LC. on the merger has a medical disease, active treatment after medical consultation and stable after surgery. 2. Surgical methods General anesthesia with tracheal intubation, the establishment of CO2 pneumoperitoneum (12 ~ 15 mmHg, taking the first pupil in patients with low 15 ~ 20 , the left tilt 15 ~ 20 , 30 laparoscope use, operation method using 4-hole surgery . the first treatment of cystic duct anatomy, the cystic