胆囊(gallbladder).docVIP

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胆囊(gallbladder)

胆囊(gallbladder) Cholecystectomy Originally, the gallbladder is not necessary to remove, but the study found that gallstone and cholecystitis is the cause of gallbladder dysfunction. Thus, cholecystectomy and lithotomy were almost abolished. Thus, cholecystectomy became almost the only surgical procedure for the gallbladder. I have often told young doctors that two operations are fatal to general surgeons, one of them being the thyroid gland, and the other is cholecystectomy. These two kinds of surgical surfaces do not seem very difficult, but they are difficult to expose, bleed, and have scruples. Unable to complete the real operation has the following characteristics: it is not easy to expose, cannot reveal, not easy to operate or not, is not unable to reveal the thyroid surgery + operation, cholecystectomy is not easy to expose the + operation. At the step by step trap cholecystectomy The special position of the gallbladder adds to the difficulty of the operation, but the real test is the pitfalls A trap: originally, most cholecystectomy is not difficult, mesangial and free gallbladder than even the appendectomy is easier, but they have been solved for laparoscopic, open resection, only chronic cholecystitis, suppurative and gangrenous cholecystitis, or known as the killing trap atrophic cholecystitis. When you face the gall bladder with good memories, you unconsciously enter the trap of conscious design. Trap two: liver type gallbladder, when you have encountered a small gall bladder smug, hidden in the liver gall bladder is smiling at you. Before you start cutting, use the two finger on both sides of the gallbladder. If the gall bladder falls into the liver, then congratulate you - the intrahepatic gall bladder. At the step by step trap cholecystectomy Trap three: cystic ampulla from the outside to see the ampulla, has been able to find the ampulla is not a tapering funnel, perhaps our own habit of drawing the gall bladder schematic, so that they believe that he

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