提高腹腔镜胆囊切除术的安全性探讨

张勇

提高腹腔镜胆囊切除术的安全性探讨

张勇

嘉峪关市第二人民医院普通外科

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中图分类号: R657.4
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出版历程
- 出版日期: 2013-06-20

How to improve safety of laparoscopic cholecystectomy

Zhang Yong

Department of General Surgery, The Second People′s Hospital of Jiayuguan City

摘要

摘要:
腹腔镜胆囊切除术已成为胆囊良性疾病治疗的"金标准",总结近年来各种确切的手术安全措施,建议重视围手术期影像学的检查和术前高危因素的处理,加强手术技巧的训练,积极引入加速康复外科理念,以尽可能的避免并发症的发生,提高腹腔镜胆囊切除术的安全性。
- 胆囊疾病 /
- 胆囊切除术,腹腔镜 /
- 围手术期
Abstract:
Laparoscopic cholecystectomy (LC) has become the "gold standard" of treatment for benign gallbladder disease.This paper summarizes various surgical safety measures used in recent years, and suggests an emphasis on perioperative imaging examination, preoperative prevention of risk factors, training of surgical skills, and introduction of fast-track surgery concept, so as to avoid the incidence of complications and improve the safety of LC.
- gallbladder diseases /
- cholecystectomy /
- laparoscopic

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参考文献(12)

[1]Wang QS.Mechanism and prevention for complications of laparo-scopic cholecystectomy[J].J Clin Hepatol, 2012, 28 (1) :11-13. (in Chinese) 王秋生.腹腔镜胆囊切除术并发症的发生机制与预防对策[J].临床肝胆病杂志, 2012, 28 (1) :11-13.

[2] Chen L.Value of color ultrasonography in preoperative evaluationfor laparoscopic cholecystectomy[J].J Chin Tradit Chin Med Inf, 2012, 3 (4) :436. (in Chinese) 陈蕾.彩超对腹腔镜胆囊切除术的术前评估价值分析[J].中国中医药咨讯, 2012, 3 (4) :436.

[3]Zhang H, Liu GL.Laparoscopic cholecystectomy of benign diseasesof the gallbladder after subtotal gastrectomy[J].Chin J Gen Surg, 1998, 13 (3) :30-31. (in Chinese) 张寰, 刘国礼.胃大部切除术后的腹腔镜胆囊切除术[J].中华普通外科杂志, 1998, 13 (3) :30-31.

[4]Lu XS, Xu Y.Application value of magnetic resonance cholangiopan-creatography before cholecystectomy in patients with cholecystolithiasis[J].J Clin Med Pract, 2010, 14 (9) :107-108. (in Chinese) 卢杏生, 徐勇.MRCP在胆囊结石术前应用价值[J].实用临床医药杂志, 2010, 14 (9) :107-108.

[5]Zhang Y, Chen YS, Wang X, et al.Venous thrombosis followinglaparoscopic cholecystectomy:Analysis of 12 cases[J].Chin J MinInv Surg, 2005, 5 (11) :888. (in Chinese) 张勇, 陈延山, 王义欣, 等.腹腔镜胆囊切除术后静脉血栓12例分析[J].中国微创外科杂志, 2005, 5 (11) :888, 895.

[6]Chen LH, Zheng CX, Tan M, et al.The preoperative value of theendoscopic ultrasound scanning for laparoscopic cholecystectomy[J].Chin J Laparoscopic Surgery, 2010, 3 (1) :50-52. (inChinese) 陈流华, 郑朝旭, 谭敏, 等.内镜超声检查在腹腔镜胆囊切除术前的价值[J].中华腔镜外科杂志, 2010, 3 (1) :50-52.

[7]Geng HC, Liu WM.Laparoscopic cholangiography:clinical experi-ence of 162 cases[J].Med Innov Chin, 2012, 9 (4) :149-150. (in Chinese) 耿红超, 刘伟敏.腹腔镜胆道造影术162例体会[J], 中国医学创新, 2012, 9 (4) :149-150.

[8]Huang ZQ.An era of minimally invasive surgery of the biliary tract[J].J Clin Surg, 2011, 19 (11) :729-730. (in Chinese) 黄志强.胆道外科的微创外科时代[J].临床外科杂志, 2011, 19 (11) :729-730.

[9]Fang ZP, Dong ML, Zhu ZL, et al.Management of large cysticduct during laparoscopic cholecystectomy[J].Chin J Min Inv surg, 2003, 3 (1) :67-68. (in Chinese) 方哲平, 董米连, 朱正练, 等.腹腔镜胆囊切除术中粗大胆囊管处理体会[J].中国微创外科杂志, 2003, 3 (1) :67-68.

[10]Wu ZX, Ju MY.Clinical research on laparoscopic cholecystectomyin complex situations[J].Ningxia Med J, 2011, 33 (8) :759-761. (in Chinese) 武政喜, 鞠敏育.复杂情况下腹腔镜胆囊切除术的临床研究[J].宁夏医学杂志, 2011, 33 (8) :759-761.

[11]Yao JB, Shen XQ, Yu CH.The clinical application of fast tracksurgery in laparoscopic eholecystectomy[J].J HepatopancreatoilitySurg, 2010, 22 (1) :25-27. (in Chinese) 姚军波, 沈小青, 于聪慧.加速康复外科在腹腔镜胆囊切除术中的应用[J].肝胆胰外科杂志, 2010, 22 (1) :65.

[12]Lu WS, Tian ZM.The applications of surgical robot in surgical field[J].Beijing biomedical engineering, 2010, 29 (1) :101-105. (in Chinese) 卢旺盛, 田增民.机器人在外科领域应用现状[J].北京生物医学工程, 2010, 29 (1) :101-105.

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