切除

基本解释 (translations)

ablate  ·  ablation  ·  conciseness  ·  excise  ·  excision  ·  removal  ·  resect  ·  abscise  ·  decerebrate  ·  excide  ·  exscind  ·  ablated  ·  ablates  ·  ablating  ·  abscised  ·  abscises  ·  abscising  ·  excided  ·  exciding  ·  excises  ·  excising  ·  exscinded  ·  exscinding  ·  exscinds  ·  resected  ·  resecting  ·  resects

与切除相关的网络例句 [注：此内容来源于网络，仅供参考]

The uncovered tracts and the liver wound surface were managed by some of the methods combined such as high frequency electrocoagulation, titanium clamp, suture, hemostatic gauze oppression, argon-beam coagulation, protein glue adherence, and Endo-GIA switcher. The total operative outcome, operating time, blood loss, postoperative complications and postoperative hospital stay were summarized in order to assess feasibility and safety of the clinical laparoscopic liver resection.Results: 1. Laparoscopic liver resection with clamp dissection method needs only the ordinary laparoscopic equipment. It has a low cost but causes a little more bleeding. 2. Laparoscopic liver resection operated by microwave tissue coagulation method had very little bleeding when dissecting hepatic parenchyma. The operative field is clear and the cost is low. It is a safe, convenient and effective method. 3. Ultrasound dissector is a relatively ideal appliance for laparoscopic liver resection at present because ofless bleeding during operation. But the speed is slow thus prolongs the operation time. Its separating intensity is not strong enough, and it can only be applied to patients without hepatic cirrhosis. 4. Ligsure has clamp dissection and electrocoagulation functions. It can carbonize hepatic tissue including the tracts whose diameters are less than 7mm. It has some advantage in dissecting. However, it has the shortcomings of the clamp dissector during coagulating. 5. Hand-assisted laparoscopic liver resection can make use of the flexibility and feeling of the operators left hand.

结果：1、钳夹分离切肝法不需特殊仪器设备，只要具备常规的腹腔镜器械即可实施，成本低，肝断面较易渗血；2、微波固化切肝法肝实质出血很少，视野清晰，成本低，操作简单，是一种安全、简便、有效的方法；3、超声刀是目前较为理想的切肝器械，术中出血少，但是，切割速度慢，手术时间长，而且，切割强度有限，适用于无肝硬化的肝切除；4、Ligsure具有挤压粉碎及高频电凝止血两大功能，可使包括7~以下管道的肝组织碳化、形成焦痴，具有一定的优势，但是，也存在分离钳电凝止血的缺点；5、手辅助腹腔镜肝切除可以利用术者左手的灵活性及手感，便于术中显露、分离、控制出血等，可随意协助右手及助手的主要操作，缩短了手术时间，大大提高了腹腔镜肝切除的安全性，李朝龙等的改良方法，同样达到了手辅助目的，又节省了费用；6、小切口腹腔镜辅助切肝法可以使用剖腹肝切除常规器械及剖腹肝切除技术，操作简单、可靠，适用于肝左外叶切除及右肝第V段切除；7、Endo一GIA切肝法在离断肝组织的同时闭合管道结构，多用于肝左静脉、门静脉分支、管径较大胆管的切割，缺点是不能用于较厚肝组织的切割，而且价格昂贵；8、临床巧例腹腔镜肝切除均获得成功，手术时间最短1.5h，最长sh，平均125 min，多数在100 min左右，手术出血量最少50 ml，最多500 ml，平均1 78 ml，除2例合并严重肝硬化的原发性肝癌患者术后出现少量腹水，1例术后发生胆漏外，其余无并发症，发生胆漏的1例患者术后住院40d，多数在术后一周左右出院，术后住院时间5一40d，平均gd。

Methods: 1. Experimental laparoscopic liver resection: We selected pigs as experimental models aiming to approach human beings physiological and anatomical condition. After CO2 pneumoperitoneum was established, the ligaments around liver were dissociated. Livers were cut off by the methods such as clamp dissection, microwave tissue coagulator, ultrasound dissector, Ligsure dissection, hand-assisted, short abdominal incision laparoscopy-assisted, and Endo-GIA switcher. The operation time and bleeding volume were compared between different methods of laparoscopic liver resection. The advantages and limitations of different methods were summarized. 2. Clinical laparoscopic liver resection: 15 cases with tumors in segment V of anterior right lobe or segments II, III of left lateral lobe or segment IV of left internal lobe were selected in this study. The liver diseases included hepatocellular cancer, hepatic cavernous hemangioma and hepatic focal nodular hyperplasia. The ligaments around liver were dissociated after CO2 pneumoperitoneum established. Laparoscopic liver resection were carried out by some of the methods combined such as clamp dissection, microwave tissue coagulator, hand-assisted, short abdominal incision laparoscopy-assisted, ultrasound dissector, rotation and suction dissector.

1、实验性腹腔镜肝切除：以猪为实验动物，旨在接近人体的生理、解剖环境下进行实验，建立操作空间后游离肝脏周围韧带，采用钳夹分离切肝法、微波刀切肝法、超声刀切肝法、Ligsure切肝法、手辅助腹腔镜肝切除法、小切口腹腔镜辅助切肝法、Endo-GIA切肝法等方法实施腹腔镜下肝切除，比较不同切肝方法的手术时间、出血量，总结各种方法的优越性及其局限性。2、临床腹腔镜肝切除：选择肿瘤位于肝右前叶第Ⅴ段、肝左外叶第Ⅱ、Ⅲ段及左内叶第Ⅳ段的15例患者，病种包括原发性肝癌、肝海绵状血管瘤、肝脏局灶性增生，建立气腹后游离肝脏周围韧带，采用钳夹分离断肝、微波刀固化后断肝、手辅助腹腔镜肝切除、小切口腹腔镜辅助肝切除、超声刀断肝、旋吸断肝等多种方法分离切线肝组织，暴露管道结构，再采用高频电凝、钛夹夹闭、缝扎止血、止血纱布覆盖、氩气刀止血、生物胶止血、Endo-GIA处理等多种方法相结合处理肝断面，统计手术完成情况、手术时间、手术出血量、术后并发症及术后住院时间等，评价腹腔镜肝切除的可行性及安全性。

From April 2000 to June 2002, 512 cases of laparoscopical urologic operation have been performed through transperitoneal and retroperitoneal or extraperitoneal approach: 41 cases of nephrectomy, 36 cases of radical nephrectomy, 10 cases of nephroureterectomy with cystoscopic en bloc excision of the distal ureter and bladder cuff, 3 cases of partial nephrectomy, 78 cases of partial adrenalectomy or resection of adenomas, 71 cases of total adrenalectomy, 17 cases of ureterolithotomy, 122 cases of decortication of renal cyst, 1 case of Anderson-Hynes dismembered pyeloplasty, 7 cases of renal pedical lymphatics disconnection, 2 cases of relative living donor nephrectomy.

本课题通过对223例肾疾病、149例肾上腺疾病、17例输尿管结石病人进行腹腔镜及后腹腔镜手术，其中肾囊肿去顶术140例、单纯肾切除术41例、根治性肾切除术36例、肾输尿管全切及输尿管口膀胱袖套状切除术10例、后腹腔镜肾部分切除术3例、Anderson-Hynes肾盂成形术1例、肾蒂淋巴管离断术7例、腹腔镜和后腹腔镜活体亲属供肾切取术各1例、肾上腺部分或单纯肿瘤切除术78例、肾上腺全部切除术71例、输尿管切开取石术17例。记录手术时间、手术中失血量、肠道功能恢复时间及并发症，将结果与传统开放手术和国外学者的腹腔镜手术结果进行比较，对数据进行统计分析。

Methods HALS was used in 202 cases including 94 cases of hepatectomy, 29 cases of splenectomy, 28 cases of modified Sugiura procedure, 4 cases of combined hepatectomyand splenectomy, 41 cases of combined hepatectomy and choledocholithotomy, one case of combinedhepatectomy and total hysterectomy and 5 cases of combined splenectomy with choledocholithotomy.

对202例肝或脾外科疾病进行手助腹腔镜手术，包括肝切除94例，脾切除29例，改良Sugiura术28例，肝脾联合切除4例，肝子宫联合切除1例，肝切除加胆总管取石术41例，脾切除加胆总管取石术5例。

The average age was 27.8 years, and there were 47.5% patients with malignant change, the average age of them was 35.9 years. The choice of operative procedures included total proctocolectomy with ileostomy in 60 cases (26.0%), subtotal colectomy+rectal polyposis electrocautery in 63 cases (27.3%), total colectomy or proetocolectomy with ileo-anal anastomosis in 12 cases (5.2%), total colectomy or proctocolertomy with ileal pouch-anal anastomosis in 19 cases (8.2%), subtotal colectomy+rectal mucoscctorny, through the muscular sheath of rectum ileo-anal anastomosis in 22 cases (9.5%), ileal pouch-anal anastomosis in 47 cases (20.3%), and subtotal proctoeoleetomy in 8 cases (3.5%).

术式选择全结肠直肠切除＋末端回肠腹壁造口术60例(26.0%)，全结肠部分直肠切除＋回肠直肠吻合术63例(27.3%)，全结肠直肠切除＋回肠肛管吻合术12例(5.2%)，全结肠直肠切除＋回肠储袋肛管吻合术19例(8.2%)，全结肠部分直肠切除＋残留直肠黏膜剥脱＋经直肠肌鞘回肠肛管吻合术22例(9.5%)，全结肠部分直肠切除＋残留直肠黏膜剥脱＋经直肠肌鞘回肠储袋肛管吻合术47例(20.3%)，部分结肠或直肠切除术8例(3.5%)。

(1)Both the liver regeneration and apoptosis are influenced by conspicuous bilirubinemia, hepatectomy and hepatic artery resection in rats after obstructive jaundice, especially by the liver resection volume and conspicuous bilirubinemia.(2) Under the condition of conspicuous bilirubinemia, the influence of 70% PH with HAR on liver regeneration and apoptosis is severer than its counterpart of 42% in the rats. Thus, the former is not safe and should be avoided and the later can be used.

高胆红素血症时，肝切除量是影响大鼠肝切除联合肝动脉切除实施安全性的重要因素，42%肝切除联合肝固有动脉切除、胆肠再通内引流，对肝细胞再生和凋亡影响较小，安全可行；70%肝切除联合肝动脉切除、胆肠再通内引流后肝细胞再生显著受抑制，凋亡增多，死亡率高，应避免实施。

Results Preoperative diagnostic rate was53.6%,and operative resection rate was71.4%,simple cholecystectomy in6cases,cholecystectomy and exploration of the biliary passage in4cases,gallbladder and regional lymphadonectomy in2cases,gallbladder and liver wedge resection and regional lymphadonectomy in6cases,gallblad-der and liver wedge resection and regional lymphadonectomy and right hemicolectomy in1case,and gallbladder and liver wedge resection and regional lymphadonectomy and subtotal gastrectomy and right hemicolectomy in1case.Unre-sectable rate were28.6%,gastro-jejunostomy in2cases,cholecystostomy in1case.Laparotomy exploration only in5cases.

结果 术前确诊率仅为53.6%（15/28），手术切除率为71.4%（20/28），单纯胆囊切除术6例（占21.4%），胆囊切除+总胆管探查4例（占14.3%），胆囊切除+区域淋巴结清扫2例（占7.1%），胆囊+肝楔状切除+区域淋巴结清扫6例（占21.4%），胆囊+肝楔状切除+区域淋巴结清扫+右半结肠切除1例（占3.6%），胆囊+肝楔状切除+区域淋巴结清扫+胃大部切除+右半结肠切除1例（占3.6%），未切除率为28.6%，胃-空肠吻合术2例（占7.1%），胆囊造瘘1例（占3.6%），仅做剖腹探查术5例（占17.9%）。

Result: all the 82 cases,15 were treated with right hemihepatectomy,26 with left hemihepatectomy,10 with quadrate lobectomy,7 with right posterior lobectomy,24 with localization lobectomy.postoperative pathdogic:75 were liver cell carcinoma,7 were carcinoma of bileduct.one case with postoperative hemorrhea,hemostated by reoperation.3 patients with biliary fistula,2 cases were cured by drainage,1 case was cured by ercp.no one died in operation.10(12.2%) died in half year,27(32.9%) died in one year.conclusion: control the indication and amount of heratectomy,contral hemorrhea,treat incised wound of liver correctly and prevent postoperative complications ,that can guarantee the effect of hepatectomy.

结果：右半肝切除15例、左半肝切除26例、肝中叶切除10例、肝右后叶切除7例、肝局部切除24例。术后病理诊断为肝细胞癌75例、胆管细胞癌7例。本组术后近期出血1例，再次手术止血；胆瘘3例，2例行腹腔引流治愈，1例行ercp置管引流治愈；无手术死亡。术后半年内死亡10例（12.2%），1年内死亡27例（32.9%），余45例现均存活。结论：掌握肝切除手术指征及肝切除量、严格控制术中肝出血、正确处理肝创面及术后并发症，才能保证手术治疗的效果。

The resection electrode types include: a hand-crafted, temperature-resistant tungsten wire-cutting loop; a coagulating perforated resector that provides a 40% greater coagulation zone than standard cutting loops and performs cutting and coagulation simultaneously during tissue resection; a dimpled vaporization roller that offers a smoother area of vaporization than a grooved roller while providing deep-tissue coagulation; a roller ball and roller barrel, which are used for coagulation and ablation of soft tissue in the bladder and prostate (the roller ball may also be used for endometrial ablation in the uterus); and a Collings knife that allows urologists access to all areas of the prostate and is most commonly used for ureteral meatotomy and transurethral incision of the prostate.

切除电极包括：手动操作、耐受高温、钨丝切除线圈；凝固穿孔前列腺切除器，比标准切除线圈的凝固面积大出40%，能够在组织切除过程中同时进行切除和凝固；一种漩涡汽化转子，比槽式转子提供更加平滑的汽化区域，同时产生深部组织凝固；一个转子球和转子滚筒，用于膀胱和前列腺软组织的凝固和汽化(转子球还可以用于子宫内膜的消融)；一个Collings刀能够帮助泌尿科医生进入前列腺的所有区域，通常用于输尿管切除术和经尿道前列腺切开。

Surgical procedures included eight proximal pancreatectomies, three total pancreatectomies, nine distal pancreatectomies, and three tumor enucleations from the pancreatic head. Three patients had superior mesenteric vein reconstruction, six had liver resection, one had an extended periaortic node dissection, 11 had splenectomy, and one had left nephrectomy.

手术的过程包括8个近端的胰脏切除，三个全胰脏切除，九个末梢的胰脏切除，和三个进行肿瘤切除，三个患者有较佳的中肠静脉重建术，六名进行肝脏再切除，一名患者有广泛的进大主动脉节切除，1人进行脾脏切除，一名患者进行左肾切除术。

与切除相关的网络解释 [注：此内容来源于网络，仅供参考]

Anal fistulectomy or fistulotomy with hemorrhoidectomy：肛门瘘切除或切开术并痔疮切除

直肠癌腹部会阴联合切除术 Combined abdomino perineal resection for rect... | 肛门瘘切除或切开术并痔疮切除Anal fistulectomy or fistulotomy with hemorrhoidectomy | 外痔血栓切除 Thrombectomy, external hemo...

lobectomy：肺叶切除术

手术型式视肺癌发生部位可分成节状切除术或楔状切除术(Segmental resection or wedge resection)、肺叶切除术(Lobectomy)或肺切除术(Pneumoectomy). 不过,有些肿瘤会因其大小或位置而无法开刀切除;

abdominal salpingectomy：腹式输卵管切除术,剖腹输卵管切除术

abdominal pressure 腹压 | abdominal salpingectomy 腹式输卵管切除术,剖腹输卵管切除术 | abdominal salpingo-oophorectomy 腹式输卵管卵巢切除术,剖腹输卵管卵巢切除术

subtotal hysterectomy：次全子宫切除术

⑤次全子宫切除术(subtotal hysterectomy)又名阴道上子宫切除术,即将子宫颈阴道部以上的子宫切除,根据手术途径不同分为腹式次全子宫切除术和阴式次全子宫切除术两种.

Synovectomy or/and capsulectomy-knee：滑膜切除术或关节囊切除术- 膝关节

滑膜切除术或关节囊切除术- 股关节Synovectomy or... | 滑膜切除术或关节囊切除术- 膝关节 Synovectomy or/and capsulectomy-knee | 滑膜切除术或关节囊切除术- 肩关节、肘关节、腕关节或踝关节Synovectomy or/and caps...

Synovectomy or/and capsulectomy- hip：滑膜切除术或关节囊切除术- 股关节

急性化脓性关节炎切开术- 肩关节、肘关节、腕关节 、膝关节、踝关节Arthrotomy for acute s... | 滑膜切除术或关节囊切除术- 股关节Synovectomy or/and capsulectomy- hip | 滑膜切除术或关节囊切除术- 膝关节 Synovectom...

Synovectomy or/and capsulectomy-shoulder elbow, wrist or ankle：滑膜切除术或关节囊切除术- 肩关节、肘关节、腕关节或踝关节

滑膜切除术或关节囊切除术- 膝关节 Synovectomy or/... | 滑膜切除术或关节囊切除术- 肩关节、肘关节、腕关节或踝关节Synovectomy or/and capsulectomy-shoulder elbow, wrist or ankle | 滑膜切除术或关节囊切除术- 指...

tarsectomy：睑板切除术 睑板切除术 跗骨切除术

tarseal 沥青封层 | tarsectomy 睑板切除术 睑板切除术 跗骨切除术 | tarsectopia 跗骨脱位

Cystectomy with pelvis LND with urethrectomy without bladder reconstruction：膀胱全切除术及尿道全切除术合并骨盆腔淋巴切除术

膀胱摄护腺根除术合并骨盆腔淋巴切除... | 膀胱全切除术及尿道全切除术合并骨盆腔淋巴切除术Cystectomy with pelvis LND with urethrectomy without bladder reconstruction | 膀胱全切除术及骨盆腔淋巴切除术合并原位...

Cystectomy with pelvis LND without urethrectomy without bladder reconstruction：膀胱全切除术合并骨盆腔淋巴切除术

膀胱全切除术及尿道全切除术合并禁尿膀胱重建术... | 膀胱全切除术合并骨盆腔淋巴切除术Cystectomy with pelvis LND without urethrectomy without bladder reconstruction | 膀胱摄护腺根除术合并骨盆腔淋巴切除术Cys...