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1991年3月至12月,我们应用腹腔镜行胆囊息肉摘除,胆囊一期缝合32例。其中多发息肉24例,单发8例。9例合并胆囊结石。手术前用B超对胆囊定位,做皮肤小切口,穿刺胆囊放入OlympusA5307腹腔镜,取出息肉,电凝止血,标本立即行冰冻检查。冰冻报告为良性,术中胆道造影无梗阻,用4/0无损伤缝线分层缝合胆囊粘膜和浆膜。多数病人仅手术当日需静脉补液治疗,术后第一天即可下地、进食。32例切口均一期愈合。16例3个月后随访,胆囊功能正常。
From March to December 1991, we performed laparoscopic removal of gallbladder polyps, and 32 primary gallbladder sutures. Among them, 24 cases had polyps and 8 cases had single cases. Nine patients had gallstones. Before the operation, the B-ultrasound was used to locate the gallbladder, and a small incision was made on the skin. The gallbladder was placed into the Olympus A5307 laparoscope. The polyp was removed and the coagulation was stopped. The specimen was immediately frozen. The frozen report was benign and the intraoperative cholangiography was not obstructed. The gallbladder mucosa and serosa were stratified using 4/0 non-invasive sutures. Most patients need intravenous fluid rehydration only on the day of surgery, and they can go to the ground and eat on the first postoperative day. All 32 incisions healed in one stage. Sixteen patients were followed up for 3 months and gallbladder function was normal.