west china medical publishers
Keyword
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Keyword "腹部手术史" 3 results
  • Effect of Previous Abdominal Surgery on Appendectomy under Laparoscope for Acute Appendicitis

    【摘要】 目的 探讨腹部手术史对急性阑尾炎腹腔镜阑尾切除术(LA)的影响。 方法 2005年1月-2010年9月,将既往有腹部手术史并行LA的111例患者纳入观察组,同期随机抽取无腹部手术史行LA的220例患者纳入对照组。入选患者排除多次手术史、免疫功能低下、肝肾功能不全及血液病。比较两组中转开腹率、手术时间、术中出血量、术后并发症及住院时间的差异。 结果 两组均未出现术中并发症及死亡,两组患者的中转开腹率、手术时间、术中出血量、术后并发症及住院时间比较,差异均无统计学意义(Pgt;0.05)。 结论 即往腹部手术史对急性阑尾炎LA没有明显影响。【Abstract】 Objective To investigate the effect of previous abdominal surgery on appendectomy under laparoscope for acute appendicitis. Methods From January 2005 to September 2010, 111 patients with a history of abdominal surgery who had undergone laparoscopic appendectomy due to acute appendicitis were in the observe group and 220 patients selected randomly from the patients without a history of previous abdominal surgery who had undergone laparoscopic appendectomy were in the control group. The patients with a history of multiple operations, immunodeficiency, liver and kidney dysfunction, and hematopathy were excluded. The data were collected retrospectively and the differences of conversion rate, operative time, intraoperative blood loss, postoperative complications, and hospital staying were compared between the two groups. Results There were no death or intraoperative complications in both of the two groups. The differences in the conversion rate, operative time, intraoperative blood loss, postoperative complication rates, and hospital staying between the two groups were not significant (Pgt;0.05). Conclusion Previous abdominal surgery has no significant effect on laparoscopic appendectomy for acute appendicitis.

    Release date:2016-09-08 09:24 Export PDF Favorites Scan
  • Laparoscopic Cholecystectomy after Upper Abdominal Surgery

    目的 探讨上腹部手术后腹腔镜胆囊切除术(LC)的可能性及手术方法与技巧。方法 回顾性分析我院2005~2009年期间对有上腹部手术史行LC的23例患者的临床资料。结果 23例患者中慢性结石性胆囊炎18例,胆囊息肉5例。既往均有上腹部手术史,其中胃大部切除术后19例,胃平滑肌瘤切除术后2例,脾破裂修补术后2例。采用闭合法穿刺建立气腹,分离粘连,暴露胆囊全貌及Calot三角,顺行或逆行切除胆囊。23例中LC成功21例; 因粘连致密,胆囊管无法辨认,中转开腹2例。手术时间45~140 min,平均67 min。全组无明显出血、内脏损伤、胆管损伤、胆汁漏等并发症发生。结论 部分上腹部手术后胆囊良性疾病行LC术可行。

    Release date:2016-09-08 10:55 Export PDF Favorites Scan
  • 上腹部手术史患者行三孔腹腔镜胆囊切除术的临床研究

    目的 总结对有上腹部手术史患者行三孔腹腔镜胆囊切除(LC)术的安全性及经验。 方法 对解放军第 451 医院 2011 年 6 月至 2015 年 6 月期间收治的有上腹部手术史且行三孔 LC 术的 98 例患者的临床病理资料进行回顾性分析。 结果 98 例患者均成功建立气腹,其中 96 例成功完成三孔 LC 术,成功率为 97.96%;1 例患者因严重肥胖、腹腔内视野显露不足,于右侧腋前线处建立第 4 个 Trocar 后完成手术;1 例患者因肝血管瘤切除术后胆囊三角区粘连严重而中转开腹手术。手术时间 29~136 min,平均 53 min,中位时间 49 min。有 29 例患者术后放置引流管并于术后 48 h 拔除。术后无一例患者死亡、腹腔出血、胆汁漏等并发症发生,患者均于术后 4 d 痊愈出院。术后病理结果证实慢性胆囊炎 51 例,慢性胆囊炎急性发作 38 例,胆囊息肉 9 例,无胆囊癌患者。 结论 有上腹部手术史患者行三孔 LC 术是安全、有效的,术前应利用 B 超评估粘连并选择穿刺部位,术中直视下建立气腹,术中具体的解剖需要术者娴熟的操作技能。

    Release date:2017-05-04 02:26 Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content