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[中老年急性胆囊炎的诊断与治疗性腹腔镜检查]

[Diagnostic and therapeutic laparoscopy in acute cholecystitis in middle and old age].

作者信息

Medzhidov R T, Kurbanov K M, Dalgatov G D

出版信息

Vestn Khir Im I I Grek. 1992 May;148(5):151-4.

PMID:1302945
Abstract

Laparoscopic decompression of the gallbladder in elderly and senile patients having acute cholecystitis and in patients with severe coexistent diseases allows arresting the acute inflammatory process in the gallbladder, reducing the amount of forced operations which are extremely dangerous for this contingent of patients. Sanitation of the gallbladder with the electrolytic silver solution and irradiation of the bladder mucosa with laser is highly effective. Microcholecystostoma performed with a catheter having a diameter not less than 2.5 mm maintains adequate decompression of bile ducts and allows performing complete examination of them.

摘要

对患有急性胆囊炎的老年和高龄患者以及伴有严重并存疾病的患者进行腹腔镜胆囊减压,可阻止胆囊内的急性炎症过程,减少对这类患者极具危险性的急诊手术数量。用电解银溶液对胆囊进行清洗以及用激光照射胆囊黏膜非常有效。使用直径不少于2.5毫米的导管进行微胆囊造口术可保持胆管充分减压,并能对胆管进行全面检查。

相似文献

1
[Diagnostic and therapeutic laparoscopy in acute cholecystitis in middle and old age].[中老年急性胆囊炎的诊断与治疗性腹腔镜检查]
Vestn Khir Im I I Grek. 1992 May;148(5):151-4.
2
[Therapeutic tactics after laparoscopic cholecystostomy in patients with acute cholecystitis].[急性胆囊炎患者腹腔镜胆囊造口术后的治疗策略]
Khirurgiia (Mosk). 1991 Jan(1):76-9.
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[Laparoscopic microcholecystostomy in the treatment of acute cholecystitis].[腹腔镜微小胆囊造瘘术治疗急性胆囊炎]
Vestn Khir Im I I Grek. 1990 Feb;144(2):30-4.
4
[Decompression of the gallbladder in acute cholecystitis in middle-aged and elderly patients].
Khirurgiia (Mosk). 1990 Feb(2):17-20.
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[Possibilities of laparoscopic decompression of the gallbladder in middle-aged and elderly patients with diseases of the biliary tract].
Klin Med (Mosk). 1991 Feb;69(2):71-5.
6
[An endoscopic method of the treatment of complicated acute calculous cholecystitis].[一种治疗复杂性急性结石性胆囊炎的内镜治疗方法]
Khirurgiia (Mosk). 1990 Oct(10):38-42.
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[Surgical management of acute cholecystitis in elderly and old age patients].[老年及高龄患者急性胆囊炎的外科治疗]
Khirurgiia (Mosk). 1998(7):28-30.
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[Errors, hazards and complications of laparoscopic cholecystostomy in acute cholecystitis].
Khirurgiia (Mosk). 1990 Jan(1):68-72.
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Percutaneous cholecystostomy with locking trocar: how I do it?带锁定套管针的经皮胆囊造瘘术:我的操作方法?
Surg Endosc. 2003 Jan;17(1):162-3. doi: 10.1007/s00464-002-4206-5. Epub 2002 Sep 30.
10
[A new method of laparoscopic cholecystostomy].[一种腹腔镜胆囊造口术的新方法]
Vestn Khir Im I I Grek. 1985 Feb;134(2):110-2.

引用本文的文献

1
Laparoscopic cholecystostomy with delayed cholecystectomy as an alternative to conversion to open procedure.腹腔镜胆囊造瘘术联合延期胆囊切除术作为中转开腹手术的替代方案。
Surg Endosc. 1996 Apr;10(4):426-8. doi: 10.1007/BF00191631.