Velasco J M, Vallina V L
Rush North Shore Medical Center, Department of General Surgery, Skokie, IL 60076.
Surg Endosc. 1994 Jul;8(7):809-11. doi: 10.1007/BF00593448.
Utilizing the described technique, we have been able to obtain adequate cephalad retraction of the acutely inflamed, tense, and thick-walled gallbladder with minimal trauma. This has made it possible to more adequately identify key anatomical landmarks and to more safely perform the dissection in this area. We believe that the benefits of a shorter hospital stay, decreased postoperative pain, and earlier return to normal activity that patients realize when having an elective laparoscopic cholecystectomy for chronic cholecystitis can be made available as well to more patients presenting with acute cholecystitis.
利用所述技术，我们得以在创伤最小的情况下，使急性发炎、紧张且壁厚的胆囊获得足够的头侧回缩。这使得能够更充分地识别关键解剖标志，并在该区域更安全地进行解剖。我们相信，对于因慢性胆囊炎而接受择期腹腔镜胆囊切除术的患者所实现的缩短住院时间、减轻术后疼痛以及更早恢复正常活动等益处，也能够让更多患有急性胆囊炎的患者受益。
