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yxfbbiedtj · Wysłany: Czw 15:59, 10 Mar 2011

Small incision cholecystectomy reported 30 cases

Bleeding, but still set a Winchester hole next to the latex tube drainage , 1 on the morning after a bile -like liquid drainage 190ml, 40ml first 2Ft non- bile -like liquid extraction , the first 3Ft no liquid flow , allocate drainage tube after surgery 9d discharged. For example, abdominal drainage did not mention the inevitable complications . 4. The key to the success of MC ,[link widoczny dla zalogowanych], according to our limited experience that the key to the success of MC : ① the appropriateness of case selection , liver in 3 patients in this group in the 3 ~ 4cm above the costal margin plane, the gallbladder is the location of high and deep , revealing and very difficult operation Although barely able to MC, but the extended operation time , and some need to extend the incision , which is a wrong choice of cases ; ② equipment preparation are complete ; ③ anesthesia satisfaction ( how the abdominal muscles relaxed ); ④ surgical field lighting is bright enough ; ⑤ biliary surgeon surgical experience , mastery of Anatomy and relationships ; ⑥ patients who complete the MC without the confidence and patience. In the above item in various ⑥ ① and more important. . Evaluation of the foreign MC MC of the plane that small injuries and pain , quicker recovery, shorter hospital stay , Fewer complications, less pain , faster recovery and hospital advantages of low cost , especially for female patients have cosmetic significance Yongchuan house and the We believe that evaluation of the MC , MC must take into account both the advantages and disadvantages . Although it has many advantages, benefit patients. However, the surgical wound is small,[link widoczny dla zalogowanych], narrow and deep operative field , surgery is difficult, if hospitals do not have the condition ,[link widoczny dla zalogowanych], the doctor reluctantly implemented a lack of experience MC, Vice damage may occur . Therefore ,[link widoczny dla zalogowanych], we believe that cholecystectomy should not blindly pursue a small incision, based on the needs surgery should be small is small and sleet big is big . Difficulties in identifying the local anatomy incision should be extended decisively ,[link widoczny dla zalogowanych], to ensure quality and safety of surgery .