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作者报道了经腹腔镜视屏行胆总管十二指肠吻合术的技术操作.在经受胆总管十二指肠吻合术的11例病人中,其中3例患有胰头腺癌,2例胰头腺癌作有十二指肠侵犯,3例慢性胰腺炎,1例胃腺癌伴胰头浸润,1例壶腹癌和1例狭窄所致十二指肠乳头炎.手术时间平均为97.9分,入院平均为7.8天.术后均无明显的近期或远期并发症.本操作方法的优点明显省时,尤其适用于高龄和消瘦病人,同时在术后无疼痛之苦.资料与方法.患者平卧位,两腿分开.头高.稍向右侧卧位.术者站立于病人大腿之间.建立气腹,腹压维持在9mmHg,脐周位插入11mm直径的斜角套管(tracoct)的光源,其他套管置放的位置大体上与作胆囊切除术相同.第二个套管放于剑突下2cm,偏向左肋缘,适合
The authors reported the technical operation of laparoscopic common bile duct duodenal anastomosis. Of the 11 patients who underwent common bile duct duodenal anastomosis, 3 of them had pancreatic head adenocarcinoma and 2 of them were pancreatic heads. Adenocarcinoma had duodenal invasion, 3 cases of chronic pancreatitis, 1 case of gastric adenocarcinoma with pancreatic head infiltration, 1 case of ampullary carcinoma and 1 case of stenosis caused by duodenal papillitis. The average operation time was 97.9 points. The average hospital admission was 7.8 days. There were no obvious short- or long-term complications after operation. The advantages of this procedure are obvious and time-saving. It is especially suitable for elderly patients and patients who are thin and have no pain after surgery. Data and Methods Patients Supine position, two legs apart. Head high. Slight right side decubitus position. The patient stands between the patient’s thigh. Establish pneumoperitoneum, abdominal pressure maintained at 9mmHg, inserted into the 11mm diameter bevel tube (tracoct ) The light source, the placement of other sleeves is generally the same as for the cholecystectomy. The second cannula is placed 2cm below the xiphoid, biased to the left costal margin, suitable