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    UNSOLVED 膽囊切除lapa vs. open

    JustAsk
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    • J
      justillusion1219 last edited by

      最近在刀房看GS開了幾台膽囊切除,其中有一台比較特別是傳統的open cholecystectomy,想請問現在臨床開open的indication是什麼以及它的原因?

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        aaronlee0529 last edited by

        以我在GS看到的經驗,比較常看到的狀況是計畫開LC但術中轉成Open
        。主要的原因是:bleeding complication(畢竟Lapa止血止不住就該嘗試Open)或unclear anatomy(比如嚴重沾黏)。其他我沒看過,但是查到的indication一併分享如下:confirmed gallbladder cancer, type II Mirizzi syndrome (cholecystobiliary fistula), gallstone ileus, severe cardiopulmonary disease, pregnancy.

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