Alaud-Din A H, Hussein A E, Haddad M
Surgical Services Division, Saudi Aramco Medical Services Organization, Saudi Aramco-Dhahran Health Center, Dhahran, Saudi Arabia.
Surg Laparosc Endosc. 1998 Oct;8(5):380-3.
Thirty-six pediatric and adult patients with sickle cell disease (SCD), cholelithiasis, and repeated abdominal crises underwent laparoscopic cholecystectomy (LC) and appendectomy with minimal complications. We prefer using LC to the open method for patients with SCD, and we propose adjustments to the positions of the four trocars to facilitate both procedures without adversely affecting the patient.
36例患有镰状细胞病（SCD）、胆结石且反复出现腹部危象的儿童和成人患者接受了腹腔镜胆囊切除术（LC）和阑尾切除术，并发症极少。对于SCD患者，我们更倾向于使用LC而非开放手术方法，并且我们建议调整四个套管针的位置，以便于进行这两种手术，同时又不会对患者产生不利影响。
