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[普外] 腹腔镜胆囊切除术,超声刀。未经编辑的教授Yerdel

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发表于 2013-12-11 10:36:39 | 显示全部楼层 |阅读模式

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Laparoscopic cholecystectomy with harmonic scalpel. -Unedited- by Prof Yerdel

The reasons to share this video are three: First it is not very infrequent to encounter a patient having elevated serum levels of liver enzymes which may suggest the presence of common bile duct stones. On the other hand; some of these patients are found to have nothing during an ERCP as the stones might already have passed to the intestine. Therefore MRCP is an invaluable non-invasive , non-radiating tool with very high sensitivity/specifity allowing better patient selection for ERCP. This case is a good example to that. Secondly; harmonic scalpel is a wonderful toy whenever present and can be easily used instead of cautery and it really diminishes bleeding as can be seen. Third; the so called "caterpillar hump" is very well demonstrated in this video.
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