浙江医学Issue(18)：1547-1549,3.
无永久异物存留的腹腔镜胆囊联合阑尾切除术
Laparoscopic cholecystectomy combined with appendectomy without using titanium-clips
陈玉秀 1杨昌平 2曹金林 2孙雪锋 3郭海鹰3
作者信息
- 1. 杭州市五云山疗养院工作
- 2. 310004 杭州，解放军第117医院普外科
- 3. 解放军第322医院普外科
- 折叠
摘要
Abstract
Objective To evaluate the efficacy and safety of laparoscopic cholecystectomy combined with appendectomy without using titanium- clips. Methods Eighty seven patients underwent laparoscopic cholecystectomy combined with appen-dectomy under general anesthesia. The cystic and appendix arteries were sealed by monopolar coagulation;cystic duct was oc-cluded with an absorbable clip and appendix stump was occluded with an absorbable clip or absorbable polydioxanone suture. Results Operation were successful y completed in al cases except 6, in whom the procedures were converted to open surgery due to severe adhesion, cancer or perforation. No infection, bleeding or bile duct injury occurred. The median operative time was 65min (40~80min), except in cases requiring open surgery. The mean hospital stay was 4 days. Conclusion Laparoscopic cholecystectomy combined appendectomy with electrocoagulation of arteries and occlusion of cystic duct and appendix stump by absorbable clip or absorbable suture is safe and effective method;there are no intraabdominal foreign bodies left.关键词
无永久异物/电凝血管/腹腔镜手术/胆囊切除术/阑尾切除术Key words
No permanent foreign bodies/Coagulation vascular/Laparoscopic surgery/Cholecystectomy/Ap-pendectomy引用本文复制引用
陈玉秀,杨昌平,曹金林,孙雪锋,郭海鹰..无永久异物存留的腹腔镜胆囊联合阑尾切除术[J].浙江医学,2014,(18):1547-1549,3.
