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小切口胆囊切除术78例分析
引用本文:石洪秀,孟强. 小切口胆囊切除术78例分析[J]. 中国伤残医学, 2009, 17(3): 15-16
作者姓名:石洪秀  孟强
作者单位:龙江县第一人民医院,黑龙江,龙江,161100
摘    要:目的:总结小切口胆囊切除在普通外科学的可行性与优点。方法:右上腹肋缘内侧第8助间水平做4~6cm长的平行于肋弓的斜切口,于肝镰状韧带右侧进入腹腔,显露胆囊,找到Calof三角,逆行切除胆囊。结果:36例术后给予肌注度冷丁50mg,其余病例未用任何止痛剂均在12~24小时离床活动,术后24~72小时进食。住院3~7天,10~14天完全恢复,切口留有纤细瘢痕。结论:小切口选择综合生理解剖特点,不离断腹壁任何肌群,手术操作方便,可以顺利完成胆囊切除术。

关 键 词:普通外科学  胆囊切除术  Calof三角  小切口

Cholecystectomy with Small Oblique Incision
SHI Hong-xiu,MENG Qiang. Cholecystectomy with Small Oblique Incision[J]. Chinese JOurnal of Trauma and Disability Medicine, 2009, 17(3): 15-16
Authors:SHI Hong-xiu  MENG Qiang
Abstract:Objective:To summarize the feasible and advantage of cholecystectomy with small oblique incision.Methods:The bladder was removed in calof triangle at 8 th rib level of right 4~6cm oblique incision.Results:36 cases were performed such method with 50mg dolantin and ambulation was taken at 12~24 h with oral intake at 24~72h.the duration of hospitalized was 3~7d with recovery within twice weeks.Conclusion:This method could fit for anatomy characteristics without injury of abdominal wall muscle with safe and easy performance.
Keywords:Cholecystectomy  General surgery  Calof triangle  Obique incision
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