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本文报告1988~1997年施行中西医结合小切口胆囊切除术2010例。采用右上腹经腹直肌切口长3~5厘米。不切断肌肉.用两个窄“S”拉钩显露胆囊三角,分清关系后.预置胆囊管结扎线,防止结石进入总管。结扎胆囊动脉.然后从胆囊底进行剥离.若胆囊积液应先抽吸液体,以免影响操作。术后6小时服中药,次日下床活动并进食无糖流汁。本术式成功率100%,手术时间短,皮肤切口用创可贴两张粘合。术者站在左侧.不需特殊照明。本法创伤小,胃肠扰乱少,疼痛轻微,恢复快,不禁食,应用中药缩短了病程;伤口不缝合,病员乐于接受,优于传统大切口胆囊切除术。与胸腔镜胆囊切除术相比,虽则均为微小创伤,但腹腔镜胆囊切除术指征严格,需要在全麻下进行,并作人工气腹,并发症多而严重,有失败之可能,同时设备昂贵,一般医院不能开展,要有经验的外科医生操作。本法可在一般医院广泛推行。
This article reports the implementation of small intestine cholecystectomy combined Chinese and Western medicine from 1988 to 1997 2010 cases. The right upper quadrant abdominal rectus incision length of 3 to 5 cm. Do not cut off the muscles. With two narrow “S” pull hook revealed gallbladder triangle, the relationship between the clear. Pre-cystic duct ligation line to prevent stones into the Explorer. Ligation of the cystic artery. Then peel from the gallbladder end. If the fluid should be aspiration of the gallbladder fluid, so as not to affect the operation. 6 hours after taking Chinese medicine, get out of bed the next day and eat sugar-free juice flow. The successful rate of 100% surgery, short operative time, skin incision with two adhesive bandage. The surgeon stood on the left. No special lighting required. This method trauma, less gastrointestinal disturbances, minor pain, fast recovery, fasting, the application of traditional Chinese medicine to shorten the course; wound suture, the patient willing to accept, superior to the traditional large incision cholecystectomy. Compared with thoracoscopic cholecystectomy, although minor trauma, but laparoscopic cholecystectomy strict indications, need to be carried out under general anesthesia and artificial pneumoperitoneum, complications and more serious, there may be failure, at the same time Equipment is expensive, the general hospital can not be carried out, to be experienced surgeon operation. This law can be widely practiced in general hospitals.