| 摘要: |
| ［摘要］ 目的 总结双极电凝钳与电凝钩配合施行腹腔镜胆囊切除术（LC）的操作方法与临床效果。方法 先用双极电凝钳凝闭胆囊动脉，后用电凝钩切断，术野出血点用双极电凝钳电凝止血；其他步骤基本同常规LC。结果 全组32例均痊愈出院；术后平均住院时间3.5 d，平均手术时间55 min，术中平均出血量4.5 ml；无术后腹腔出血、胆漏、戳孔感染等并发症，无中转开腹病例。结论 双极电凝钳配合电凝钩施行腹腔镜胆囊切除术操作简单，止血效果好，安全可行。 |
| 关键词: 双极电凝钳 电凝钩 腹腔镜胆囊切除术 |
| DOI：10.3969/j.issn.1674-3806.2010.07.30 |
| 分类号:R 657.4 |
| 基金项目: |
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| Application of bipolar coagulation forceps and electrocoagulation hook in laparoscopic cholecystectomy:analysis of 32 cases |
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ZHANG Liang-qing, GAO Hai-hong, WU Hao-yuan
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Pubei County Chinese Medicine Hospital, Guangxi 535300, China
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| Abstract: |
| ［Abstract］ Objective To summarize the methods and clinical effect of the application of the bipolar coagulation forceps and electrocoagulation hook in laparoscopic cholecystectomy (LC).Methods First the cystic artery was coagulated and closed by bipolar electrocoagulation forceps, then was cut off by the electricity coagulation hook. The surgical field bleeding points was coagulated with bipolar electrocoagulation forceps to stop bleeding. Other surgical steps were basically the same as conventional LC.Results In this group, 32 cases were cured and discharged from hospital. The mean hospital stay was 3.5 d; the average operative time was 55min; the average intraoperative bleeding volume 4.5 ml.There were no postoperative intra-abdominal hemorrhage, bile leakage, poke holes infections and other complications. No case was of tranferred to laparotomy.Conclusion Appliation of bipolar coagulation forceps and electrocautery hook in laparoscopic cholecystectomy had the advantages of simple operation, good hemostatic effect, security and feasibility. |
| Key words: Bipolar coagulation forceps Electrocoagulation hook Laparoscopic cholecystectomy |
