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目的探讨冲洗杆在急性胆囊炎腹腔镜胆囊切除术(LC)中的应用价值。方法常规人工CO2气腹,用冲洗杆分离解剖胆囊三角146例,采用剥、推、刮、吸相结合的方法,分别解剖出胆囊管、胆囊动脉,予上钛夹后切断。结果中转开放手术5例,余顺利完成手术,无腹腔内手术并发症。结论此法操作简单、解剖分离方便,能减少术中器械更换、保持术野清晰。
Objective To investigate the value of rinse stem in laparoscopic cholecystectomy (LC) of acute cholecystitis. Methods Conventional artificially CO2 pneumoperitoneum was used to dissect 146 cases of gallbladder trigone with a rinsing rod. The gallbladder and gallbladder arteries were dissected by using the methods of stripping, pushing, scraping and suctioning respectively. Results of 5 cases of open surgery, Yu smooth completion of surgery, no intra-abdominal surgical complications. Conclusion This method is simple, convenient dissection, can reduce intraoperative equipment replacement, to maintain a clear surgical field.