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[可吸收夹在腹腔镜胆囊切除术中的价值。一项随机前瞻性研究]

[Value of absorbable clips in laparoscopic cholecystectomy. A randomized prospective study].

作者信息

Rohr S, De Manzini N, Vix J, Tiberio G, Wantz C, Meyer C

机构信息

Service de Chirurgie Générale et Digestive Centre de Chirurgie Viscérale et de Transplantation, Strasbourg.

出版信息

J Chir (Paris). 1997 Sep;134(4):180-4.

PMID:9499947
Abstract

Most surgeons use metal clips in laparoscopic cholecystectomy. The aim of this prospective randomized controlled study was to evaluate the efficacy of absorbable clips in elective laparoscopic cholecystectomy. One hundred consecutive patients with symptomatic gallstones without complications were randomized into groups; group T had two metal clips (titan clip ETHICONR), group R (laproclipR Davis and Geck) had one absorbable clip applied on the cystic duct and cystic artery. The patients were followed for one year. There was no difference between the two groups concerning operative time, hospital stay and postoperative complications. The absorbable clips seem to be as effective as metal clips in providing hemostasis in cystic artery and in cystic duct ligation.

摘要

大多数外科医生在腹腔镜胆囊切除术中使用金属夹。这项前瞻性随机对照研究的目的是评估可吸收夹在择期腹腔镜胆囊切除术中的疗效。100例连续的有症状且无并发症的胆结石患者被随机分组;T组使用两个金属夹(ETHICONR钛夹),R组(Davis and Geck公司的LaproclipR)在胆囊管和胆囊动脉上应用一个可吸收夹。对患者进行了一年的随访。两组在手术时间、住院时间和术后并发症方面没有差异。在胆囊动脉止血和胆囊管结扎方面,可吸收夹似乎与金属夹一样有效。

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