Conventional equipment a small incision anatomy cholecystectomy (48 cases report) Outside on the direction of the arc along the cystic duct extended. Revealed gallbladder glanced at the hepatic duct and common bile duct T , ligation gallbladder dynamic ignorant, continue to free the gallbladder bed, and then start from the gallbladder end of the electric knife gallbladder from the gallbladder bed free removal of the gallbladder bed electric pry hemostasis. hurried need to sew. depending on the surgical field exudation in drainage transport layer Zha 2 results found gallbladder bridle down for the sake of Taiwan peritoneal surplus membrane wall layers, intraoperative end, extend the incision, not a small cut day count. Springs 47 - gallbladder cut trace 43 down. cholecystectomy, common bile duct cut With choledochoscope open operation to check the stone for four cases, including two hire line T-tube drainage, 2 cases of common bile duct duodenal kiss sets of simple cholecystectomy surgery time for cricket ~ 85min average 55rain. bleeding 30 ~ 150rM average 7SrM. 24h after getting out of bed the first exhaust, feeding time is 30h. latest 72h average 52h simple cholecystectomy in 43 cases of postoperative the 7d stitches discharged 4l cases, and the other two cases for patients with acute cholecystitis incision infection in solid extension discharged 3 Discussion 3.1 surgical operating experience. so-called anatomic along the cystic duct the Chao capsule neck and the gallbladder is carefully separated the anatomical structure of the cystic duct and bile repent junction and gallbladder triangle t but Explorer only curved incision of the peritoneum revealed a small part (the cystic duct junction). away from the common hepatic paternity so that you maximize the alkali less. possibility of extrahepatic biliary tract and JJ venous injury. surgery as much as possible. anterograde removed. you see the D-shaped knot dig. are not harming the extrahepatic biliary tract. this group slow down due to gallbladder triangle fiber adhesion is heavier and character can be variation in the gallbladder triangle carefully dissected, but no will calyx ~ determined to find the cystic artery after the separation of active bleeding can achieve the purpose of operating a small incision within the skilled, must get rid of the traditional cholecystectomy operating practices, and India assistant with the audience. left hand holding the gallbladder. right hand held devices to operate small-incision cholecystectomy spider assistants help busy limited to patients who left and right, each carrying long devices with each other with Taiwan, the hand can not touch the gallbladder and more importantly, gallbladder Triangle 32 patients in the operating ounces and stone problems. Group were treated with cholecystectomy fell ill the vast majority (38 cases) beam intraoperative exploration, less teaching assistant examination imperfect Tibet (5 down) preoperative diagnosis inaccurate fell ill. Surgery in the preoperative left index finger in the liver measures 20 intestinal ligament before. The middle finger after the probe tract and pancreas. Generally more convenient probe after cholecystectomy. There were no positive exploration results, and no postoperative jaundice or biliary calculi play to stay 3.3 small incision gallbladder cut the advantage of Henan song. Small incision removal of the cap capsule is practical, good effect and few complications. Patients who do not require special training. Does not stagnate special equipment. Ding Jianmin, etc.: Studies show that open the film with the traditional gallbladder surgery. Small incision injury and only that. Of experience, a small incision under the rib sash can be greatly reduced incision-related complications. Costal arch parallel to the small cut on the Due to the incision for the essence of the colon and omentum, and therefore does not cause small intestinal adhesions and obstruction In addition, a small incision of postoperative infection than easy to deal with the limitations of the 3.4 small incision. Small incision surgery can not be fully exploration of a wide range of rigid, revolves around even and Taiwan and cirrhosis of the liver and moderate on obesity as a contraindication for surgery. According to our practice, most around revolves connected gallbladder by careful operation - can be removed through a small incision. Large incision just expanded. The operative field, the procedure is the same. Obese patients in general, selection of appropriate deep s Of course, for a very few high gallbladder. Because of its distance distance incision gallbladder to squint difficult to stop bleeding, and individually shrink gallbladder, biliary tract malformations in need of renewal or repair of bile duct by timely to extend the incision is still wise to