首页> 外文期刊>ANZ journal of surgery >Subcostal approach laparoscopic cholecystectomy in patients with previous abdominal surgery.
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Subcostal approach laparoscopic cholecystectomy in patients with previous abdominal surgery.

机译:先前腹部手术患者的肋下入路腹腔镜胆囊切除术。

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摘要

Laparoscopic cholecystectomy (LC) is a treatment of choice for benign gall bladder disease. However, previous upper abdominal surgery caused three concerns in the laparoscopic approach: the increased risk of bowel injury on initial entry into the abdomen, inadequate exposure to the operative field and potential complication arising from adhesiolysis. When using conventional 3- or 4-port technique, laparoscopic adhesiolysis might be required in most cases and is associated with a longer operative time. Therefore, we used subcostal port for camera rather than conventional umbilical port for LC in patients with previous midline incision.
机译:腹腔镜胆囊切除术(LC)是良性胆囊疾病的一种治疗选择。然而,先前的上腹部手术在腹腔镜方法中引起了三个问题:初次进入腹部时肠损伤的风险增加,暴露于手术区域的不足以及由粘连溶解引起的潜在并发症。当使用常规的3口或4口技术时,在大多数情况下可能需要进行腹腔镜粘连术,并且手术时间更长。因此,对于先前有中线切口的患者,我们将肋下端口用于照相机而不是传统的脐带端口用于LC。

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