摘要
目的 探讨腹腔镜联合手术的优越性和手术原则。 方法 回顾分析 1994年 5月～ 2 0 0 1年 6月 135例 2 3类腹腔镜联合手术的方法及结果。 结果 132例腹腔镜联合手术获成功 ,成功率97 7% (132 /135 )。 2例中转开腹手术 ,1例胆总管残余结石术后行内镜下Oddi括约肌切开取石 (EST)。 结论 腹腔镜联合手术创伤小 ,痛苦轻 ,多病联治 ,住院时间短。联合手术应有明确指证 ,避免清洁与污染的手术联合。
Objective To explore the advantages and principle of combined laparoscopic surgery(CLS). Methods 135 cases who received combined laparoscopic surgery from May 1994 to June 2001 were retrospectively analyzed. Results 23 different CLS were performed in 132 of the 135 cases successfully.The successful rate was 97 7%(132/135).2 cases of laparoscopic cholecystectomy(LC) combined intraoperative endoscopic sphincterotomy(EST) converted into open surgery because of failure of EST.1 case of LC combined laparoscopic common bile duct exploration received postoperative EST because of residual common bile duct stone. Conclusions CLS is minimally invasive and good for the management of several abdominal diseases simultaneously.It remarkably lessens postoperative pain and shortens hospitalization and recovery period.Combined laparoscopic surgery should have definite indications,and clean operation combined with contaminative operation should be avoided.
出处
《中国微创外科杂志》
CSCD
2002年第6期413-414,共2页
Chinese Journal of Minimally Invasive Surgery
