胆囊微创手术好还是传统手术好 陆贝 浙江大学医学院附属杭州市第一人民医院 скачать в хорошем качестве

胆囊微创手术好还是传统手术好 陆贝 浙江大学医学院附属杭州市第一人民医院

胆囊微创手术好还是传统手术好 陆贝 浙江大学医学院附属杭州市第一人民医院 微创手术已经进入的非常成熟了，胆囊手术是腹腔镜手术的第一个比较标准成熟的手术，就叫腹腔镜胆囊切除术，所以首选微创手术，技术已经能够达到绝大部分的病人做微创手术而不需要做开腹手术，这个是技术所能达到的。不是说我们做了微创手术以后就不需要做开腹手术，开腹手术和微创手术讲只是肚子上切口的区别，一个是十几二十公分的大切口，一个是几个小孔，但是真的腹腔里面手术操作范围和操作的步骤是完全一模一样的。比较复杂的胆结石手术或者解剖有异常的手术，有时通过腹腔镜手术不一定能够完全做下来，那么这种情况下就要及时的果断的要中转开腹，改为传统的手术来补充的微创手术，因为我们微创手术一般只有一个助手和一个主刀在做手术，开腹以后可以主刀和助手直视下在腹腔内操作，对一些特别复杂的情况，对腹腔镜手术有一个良好的补充，所以说是以微创手术为主，开腹手术为保障。 Gallbladder minimally invasive surgery or traditional surgery Minimally invasive surgery has entered a very mature stage, Cholecystectomy is the first standard operation of laparoscopic surgery, It's called laparoscopic cholecystectomy, So minimally invasive surgery is the first choice, Technology has been able to achieve the vast majority of patients do minimally invasive surgery without open surgery, This is what technology can achieve. It's not that we don't need open surgery after minimally invasive surgery, The difference between open surgery and minimally invasive surgery is just the incision on the stomach, One is a large incision of about ten to twenty centimeters, One is a few small holes, But the operation as like as two peas in the abdominal cavity is exactly the same. More complicated gallstone operation or operation with abnormal anatomy, Sometimes laparoscopic surgery may not be able to do it completely, In this case, we need to make a timely and decisive transition to an open stomach, It's replaced by traditional minimally invasive surgery, Because we usually have only one assistant and one main knife for minimally invasive surgery, After laparotomy, you can operate in the abdominal cavity under the direct vision of the main knife and assistant, For some particularly complex situations, It is a good supplement for laparoscopic surgery, So it's mainly minimally invasive surgery, Open surgery is the guarantee.