摘要
目的：探索胆石病的微创手术。方法：研制了一套适用于小切口胆运手术的器械共7种13件。改进了传统的手术方式，在右肋缘下做一个4～6cm的切口，直视下利用特制的手术器械经体表进行深部操作，完成胆囊切除和胆总管探查等手术。结果：自1990年3月至1997年9月，临床应用4679例，手术成功率为97．4％，仅有122例因种种原因延长切口2～9cm（平均3cm）。手术总并发症为1.18％，技术性并发症为0．58％，其中胆道损伤为0．29％。结论：小切口胆道手术具有创伤反应轻，术后恢复快，医疗费用低，遗留疤痕细小等优点。
In order to probe into the minor - wound surgery for the treatment 0f cholelithiasis, we studied cliniclly on mini -laparotomy method of therapy of cholelithiasis and developed a suite of devices which consist of 13 parts, modified the traditional operative procedure. By using the special equipments, cutting a 4 ~6cm incision under the right costal margin, the operation can be done under direct view with surgeon's hands in vitro. With this, Cholecystectomy and common bileduct exploration were perfOrTned in 4679 patients from March l990 to September 1997. The rate of success was 97. 4 per cent. The incisions were lengthened only in 122 cases for various reasons. The overall complications were 1.18 per cent, the complications of techniquewere 0. 58 per cent, among these, the binary injury was 0. 29 per cent. The minor - wound binary surgery has the advantages of mild response, quick recovery, little medical cost, fine and small scar.
出处
《上海预防医学》
CAS
1998年第4期157-159,共3页
Shanghai Journal of Preventive Medicine
基金
上海市医学领先专业胆道外科特色专科课题
