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腹腔镜胆囊切除术已成为治疗慢性结石性胆囊炎的标准术式,其具有创伤小、恢复快、安全性高、住院时间短等特点~([1])。然而,在合并重度多囊肝多囊肾病的病人,由于囊状扩张的肝脏占据了腹腔大量的空间,在包括气腹的建立、三角区的显露、囊肿的处理等多个环节中,均给手术操作带来了较大的困难,使这一看似常规的手术成了较为特殊的病例。通过系统的文献检索,目前国内外均未见如此大多囊肝病人在腹腔镜下
Laparoscopic cholecystectomy has become the standard surgical treatment of chronic calculous cholecystitis, which has the characteristics of small trauma, rapid recovery, high safety and short hospital stay ~ ([1]). However, in patients with severe polycystic kidney disease complicated with polycystic kidney disease, the cystic dilated liver occupies a large amount of space in the abdominal cavity. In many aspects, including the establishment of pneumoperitoneum, the exposure of the triangular area and the treatment of cysts, Surgical operation has brought greater difficulties, so this seemingly conventional surgery has become a more special case. Through systematic literature search, at home and abroad have not seen so many patients with cystic disease in laparoscopic