全腹腔镜下保胆取石一期缝合术467例报告

来源 :中华医学会第十七届全国外科学学术会议 | 被引量 : 0次 | 上传用户:ws1984003
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目的 探讨全腹腔镜下保胆取石一期缝合术的手术方法和适应证.方法 467例病人在全身麻醉下采用腹腔镜胆囊切除术的标准四戳孔,借助胆道镜、取石网、输尿管导管和斑马导丝处理胆囊结石和胆囊管开口.胆囊壁切口用3-0可吸收缝线间断8字缝合或连续扣锁缝合,再用一小束修整过的带血管蒂的大网膜缝扎固定于胆囊壁切口处,胆囊周围放置防粘止血贴.取出的胆囊结石装入标本袋并从剑突下孔或脐部孔取出,Winslow孔附近常规放置一根16F脑室引流管观察渗漏情况.
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