想請問大家Run小兒的時候,有推薦念甚麼樣的參考書或工具書嗎?
A
aaronlee0529
@aaronlee0529
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RE: 膽囊切除lapa vs. open
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.