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How to perform laparoscopic cholecystectomy safely?

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Author:
No author available
Journal Title:
World Chinese Journal of Digestology
Issue:
35
DOI:
10.11569/wcjd.v26.i35.2023
Key Word:
胆囊切除术;腹腔镜;安全

Abstract: 腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)是现代微创外科的成功范式.当前已罕有愿意接受开放胆囊切除术的医生,乃至患者.在科学层面上LC已足够安全,但LC基数过于庞大,即便再低的并发症发生率也会是一组惊人的数字.LC风险因素众多,而腹腔镜相关危险因素才是决策是否适合开展LC的关键.对不同类型的胆囊炎LC都较开放胆囊切除术具有微创优势,早期LC都值得考虑.探讨如何安全进行LC的问题,我们仍应强调恪守原则、注重细节、适时变通,考虑“延迟策略”,意即在管道判别、管道离断等关键环节前都要容许反复辨别,能迟不早;组织游离过程中也要对扶镜助手有所等待迁就,及时调整,从而避免定式思维、重叠视野下的误判!

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