Cimmino P T, Bocchetti T, Izzo L
Istituto di I Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi La Sapienza, Roma.
G Chir. 1992 Apr;13(4):149-51.
The Authors emphasize the importance of a perfect anatomo-surgical knowledge for laparoscopic cholecystectomy. Therefore, the anatomic structures of the region are taken into account from a "laparoscopic" point of view, with great care to accessory bile duct, hepatic artery, and cystic artery. Knowledge and confidence with the anatomy of the region are essential to identify abnormal structures and subsequently switch from a laparoscopic to a laparotomic approach.
作者强调了完美的解剖学手术知识对于腹腔镜胆囊切除术的重要性。因此,从“腹腔镜”的角度考虑该区域的解剖结构,要格外注意副胆管、肝动脉和胆囊动脉。熟悉该区域的解剖结构并充满信心对于识别异常结构以及随后从腹腔镜手术转为开腹手术至关重要。