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我院自2014年9月~2016年5月应用腹腔镜联合胆道镜胆总管切开取石术共该手术38例,临床效果满意,现将护理配合报告如下。1临床资料本组病例38例,男24例,女14例,年龄41~68岁。原发性胆总管结石12例,胆总管结石合并胆囊结石26例。术中均放置T管引流。除1例患者为胆管结石合并胆管癌外,其余患者均恢复良好。手术方法:行气管插管全麻,患者取平卧位,头高脚低左倾30°,四孔穿刺法。建立人工气腹,置镜后行腹腔探查,解剖胆囊三角,确认胆囊管,胆囊动脉与胆总管关
Our hospital from September 2014 to May 2016 application of laparoscopic cholecystectomy combined cholecystectomy in 38 cases of the operation, the clinical effect is satisfactory, the nursing cooperation report is as follows. 1 Clinical data 38 cases of this group of patients, 24 males and 14 females, aged 41 to 68 years. 12 cases of primary common bile duct stones, common bile duct stones and gallbladder stones in 26 cases. T tube drainage were placed during surgery. Except for 1 case of cholangiolithiasis with cholangiocarcinoma, the rest of the patients recovered well. Surgical methods: general anesthesia tracheal intubation, the patient supine position, high left head tilting 30 °, four-hole puncture. Establish artificial pneumoperitoneum, set the mirror after abdominal exploration, dissecting the gallbladder triangle, to confirm the cystic duct, common bile duct and common bile duct