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find Author "李欢送" 2 results
  • Clinical efficacy of laparoscopic cholecystectomy via left side approach for patients with acute cholecystitis

    Objective To investigate clinical efficacy of laparoscopic cholecystectomy via left side approach for patients with acute cholecystitis. Methods One hundred and twenty patients with acute cholecystitis from January 2015 to May 2017 were collected. All of the patients were divided into observation group and control group according to the operative mode, with 60 cases in each group. In the observation group, the patients were treated by laparoscopic cholecystectomy via left side approach using the ligation-free technique to the main trunk of the cystic artery; in the control group, the patients were treated by the conventional laparoscopic cholecystectomy. After treatment, the operative situation, postoperative recovery, and incidence of postoperative complications were compared between these two groups. Results Compared with the control group, the operative time, first anal exhaust time, hospitalization stay, leukocytes recovery time, and coagulation function recovery time were shortened and the intraoperative bloods loss was reduced in the observation group, the differences were statistically significant (P<0.05). Furthermore, the overall postoperative complication incidence rate of the observation group was significantly lower than that of the control group (P<0.05). Conclusion For patients with acute cholecystitis, laparoscopic cholecystectomy via left side approach using ligation-free technique to main trunk of cystic artery is reliable and safe, which can effectively improve operative situation, shorten operative time, promote recovery of patient, and reduce incidence of postoperative complications.

    Release date:2017-12-15 06:04 Export PDF Favorites Scan
  • 6例完全3D腹腔镜下肝门部胆管癌根治术围手术期治疗效果总结

    目的 总结完全3D腹腔镜下肝门部胆管癌根治术围手术期的临床疗效。方法 回顾性收集2021年10月至2022年9月期间在徐州市中心医院行完全3D腹腔镜下肝门部胆管癌根治术的6例患者的临床资料并分析总结,其中 Bismuth分型Ⅰ型2例,Ⅲa型2例,Ⅲb型1例,Ⅳ型1例。结果 6例患者均成功完成了3D腹腔镜下肝门部胆管癌根治术,中位手术时间为490 min(360~600 min),中位术中出血量为550 mL(200~800 mL),中位术后首次排气时间为2 d(2~3 d),中位术后拔除引流管时间为7 d(5~8 d),中位术后住院时间为12.5 d(10~20 d)。术后病理报告均为胆管腺癌,切缘均为阴性;中位淋巴结清扫数为11枚(6~14枚);术后有1例患者(Ⅳ型)出现胆汁漏,经保守治疗7 d后痊愈;1例患者术后出现胃瘫,给予保守治疗30 d后好转;其余患者无术后并发症发生。患者术后规律随访2~14个月,中位随访时间7.5个月,均生存良好,均未见肿瘤复发和转移。 结论 在严格选择病例情况下,由经验丰富的腹腔镜外科医师行完全3D腹腔镜下肝门部胆管癌根治术是安全、可行的,近期效果良好,值得进一步探讨。

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