\u0646\u0648\u0639 \u0627\u0644\u062a\u0623\u0634\u064a\u0631\u0629 : S2
\u0632\u064a\u0627\u0631\u0629 \u0627\u062e\u062a\u064a\u0627\u0631\u064a\u0629 \u0625\u0644\u0649 \u0627\u0644\u0635\u064a\u0646 \u0644\u0625\u062c\u0631\u0627\u0621 \u0639\u0645\u0644\u064a\u0629 \u062c\u0631\u0627\u062d\u064a\u0629 \u060c \u0647\u0648 ” \u0639\u0644\u0649 \u0627\u0644\u0645\u062f\u0649 \u0627\u0644\u0642\u0635\u064a\u0631 \u0627\u0644\u0634\u0624\u0648\u0646 \u0627\u0644\u062e\u0627\u0635\u0629 ” \u060c S2 \u062a\u0623\u0634\u064a\u0631\u0629 \u0627\u0644\u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0627\u0644\u0642\u0627\u0646\u0648\u0646\u064a \u064a\u0634\u0645\u0644 \u0647\u0630\u0627 \u0627\u0644\u0646\u0648\u0639 \u0645\u0646 \u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0637\u0628\u064a \u0627\u0644\u062e\u0627\u0635 . \u0644 \u0627\u0644\u0633\u0641\u0631 \u0627\u0644\u062a\u0648\u0642\u064a\u0639 \u064a\u0633\u0645\u062d \u0641\u0642\u0637 \u0644\u0644\u0633\u0641\u0631 \u0644\u0623\u0633\u0628\u0627\u0628 \u0644\u0627 \u062a\u062a\u0637\u0627\u0628\u0642 .
\u0639\u0646\u062f \u0627\u0644\u062a\u0641\u062a\u064a\u0634 \u0639\u0644\u0649 \u0627\u0644\u062d\u062f\u0648\u062f \u060c \u0633\u0628\u0628 \u0627\u0644\u062f\u062e\u0648\u0644 \u0648 \u0646\u0648\u0639 \u0627\u0644\u062a\u0623\u0634\u064a\u0631\u0629 : \u0627\u0644\u0635\u064a\u0646 \u0627\u0644\u0637\u0628\u064a\u0629 . \u0644 \u0627\u0644\u062a\u0648\u0642\u064a\u0639 \u0647\u0648 ” \u0627\u0644\u0645\u0634\u0627\u0631\u0643\u0629 \u0641\u064a \u0623\u0646\u0634\u0637\u0629 \u0644\u0627 \u062a\u062a\u0641\u0642 \u0645\u0639 \u0646\u0648\u0639 \u0627\u0644\u062a\u0623\u0634\u064a\u0631\u0629 ” \u0648 \u0644\u0647 \u0627\u0644\u062d\u0642 \u0641\u064a \u0631\u0641\u0636 \u0627\u0644\u062f\u062e\u0648\u0644 \u0648\u0627\u0644\u0639\u0648\u062f\u0629 \u0625\u0644\u0649 \u0627\u0644\u0648\u0637\u0646 .
\u0639\u0644\u0649 \u0627\u0644\u0631\u063a\u0645 \u0645\u0646 \u0623\u0646 \u0627\u0644\u0628\u0644\u062f\u0627\u0646 \u0644\u0627 \u062a\u062d\u062a\u0627\u062c \u0625\u0644\u0649 \u062a\u0623\u0634\u064a\u0631\u0629 \u062f\u062e\u0648\u0644 \u0645\u062c\u0627\u0646\u064a\u0629 \u0641\u064a \u0648\u0642\u062a \u0645\u0628\u0643\u0631 \u060c \u0648\u0644\u0643\u0646 \u0627\u0644\u0633\u0628\u0628 \u0627\u0644\u0627\u0641\u062a\u0631\u0627\u0636\u064a \u0647\u0648 \u0623\u064a\u0636\u0627 \u0627\u0644\u0633\u064a\u0627\u062d\u0629 . \u0627\u0644\u062a\u062e\u0637\u064a\u0637 \u0644\u0639\u0645\u0644\u064a\u0629 \u062c\u0631\u0627\u062d\u064a\u0629 \u0627\u062e\u062a\u064a\u0627\u0631\u064a\u0629 \u060c \u0645\u0646\u0637\u0642\u064a\u0627 \u060c \u064a\u0646\u0637\u0648\u064a \u0623\u064a\u0636\u0627 \u0639\u0644\u0649 \u062e\u0637\u0631 \u064a\u062c\u0631\u064a \u0627\u0633\u062a\u062c\u0648\u0627\u0628\u0647 \u0645\u0646 \u0642\u0628\u0644 \u0627\u0644\u062d\u062f\u0648\u062f \u0648 \u0631\u0641\u0636 \u0627\u0644\u062f\u062e\u0648\u0644 .
\u0627\u0644\u062d\u0641\u0627\u0638 \u0639\u0644\u0649 \u0627\u0644\u0645\u0631\u0627\u0631\u0629 \u0647\u064a \u0639\u0645\u0644\u064a\u0629 \u062a\u0646\u0638\u064a\u0631 \u0627\u0644\u0628\u0637\u0646 \u060c \u0647\u0646\u0627\u0643 \u0627\u062d\u062a\u0645\u0627\u0644 \u062d\u062f\u0648\u062b \u0627\u0646\u0635\u0628\u0627\u0628 \u062a\u0633\u0631\u0628 \u0627\u0644\u0635\u0641\u0631\u0627\u0621 \u060c \u062a\u062d\u062a\u0627\u062c \u0625\u0644\u0649 \u0645\u0632\u064a\u062f \u0645\u0646 \u0627\u0644\u0645\u0631\u0627\u0642\u0628\u0629 \u0641\u064a \u0627\u0644\u0645\u0633\u062a\u0634\u0641\u0649 . \u0625\u0630\u0627 \u0643\u0627\u0646 \u0627\u0644\u0627\u0646\u062a\u0639\u0627\u0634 \u0644\u0627 \u062a\u0633\u064a\u0631 \u0639\u0644\u0649 \u0645\u0627 \u064a\u0631\u0627\u0645 \u060c \u064a\u0645\u0643\u0646 \u0623\u0646 \u062a\u0646\u0637\u0628\u0642 \u0639\u0644\u0649 \u062a\u0645\u062f\u064a\u062f \u0627\u0644\u0625\u0642\u0627\u0645\u0629 S2 \u0645\u0639 \u0634\u0647\u0627\u062f\u0629 \u0645\u0646 \u0627\u0644\u0645\u0633\u062a\u0634\u0641\u0649 .
\u0645\u0631\u0627\u0641\u0642\u0629 \u0627\u0644\u0645\u0631\u0636\u0649 \u0625\u0644\u0649 \u0631\u0639\u0627\u064a\u0629 \u0627\u0644\u0623\u0633\u0631\u0629 \u060c \u0627\u0644\u0642\u064a\u0627\u0645 \u0628\u0646\u0641\u0633 \u0627\u0644\u0634\u064a\u0621 S2 \u060c \u062a\u0642\u062f\u064a\u0645 \u0634\u0647\u0627\u062f\u0629 \u0627\u0644\u0642\u0631\u0627\u0628\u0629 + \u0645\u0633\u062a\u0634\u0641\u0649 \u0645\u0631\u0627\u0641\u0642\u0629 \u0627\u0644\u062f\u0639\u0648\u0627\u062a .
\u2705 \u0627\u0644\u0645\u0648\u0627\u062f \u0627\u0644\u0644\u0627\u0632\u0645\u0629 \u0644\u0644\u0645\u0631\u064a\u0636 ( \u0645\u0639 \u0623\u0645\u0631\u064a\u0643\u0627 \u0639\u0644\u0649 \u0633\u0628\u064a\u0644 \u0627\u0644\u0645\u062b\u0627\u0644 )
1 – \u062c\u0648\u0627\u0632 \u0633\u0641\u0631 \u0627\u0644\u0648\u0644\u0627\u064a\u0627\u062a \u0627\u0644\u0645\u062a\u062d\u062f\u0629 \u0627\u0644\u0623\u0635\u0644\u064a
\u0635\u0627\u0644\u062d\u0629 \u0644\u0645\u062f\u0629 \u0644\u0627 \u062a\u0642\u0644 \u0639\u0646 6 \u0623\u0634\u0647\u0631 \u060c \u0645\u0627 \u0644\u0627 \u064a\u0642\u0644 \u0639\u0646 2 \u0635\u0641\u062d\u0627\u062a \u0641\u0627\u0631\u063a\u0629 \u0645\u0646 \u0627\u0644\u062a\u0623\u0634\u064a\u0631\u0629 . \u062c\u0648\u0627\u0632 \u0627\u0644\u0633\u0641\u0631 \u0627\u0644\u0642\u062f\u064a\u0645 \u0627\u0644\u0645\u0642\u062a\u0631\u062d ( \u0645\u0639 \u062a\u0623\u0634\u064a\u0631\u0629 \u0627\u0644\u0635\u064a\u0646\u064a\u0629 \u0627\u0644\u0633\u0627\u0628\u0642\u0629 )
2.cova \u0627\u0633\u062a\u0645\u0627\u0631\u0629 \u0627\u0644\u0637\u0644\u0628 \u0639\u0644\u0649 \u0627\u0644\u0627\u0646\u062a\u0631\u0646\u062a + \u062e\u0644\u0641\u064a\u0629 \u0628\u064a\u0636\u0627\u0621 \u0634\u0647\u0627\u062f\u0629 48 * 33 \u0645\u0645
\u0639\u0644\u0649 \u0627\u0644\u0627\u0646\u062a\u0631\u0646\u062a \u0645\u0644\u0621 \u060c \u062a\u062d\u0645\u064a\u0644 \u0627\u0644\u0635\u0648\u0631 \u060c \u0637\u0628\u0627\u0639\u0629 \u0635\u0641\u062d\u0629 \u062a\u0623\u0643\u064a\u062f \u060c \u0623\u0646\u0627 \u0627\u0644\u062a\u0648\u0642\u064a\u0639 \u0628\u062e\u0637 \u0627\u0644\u064a\u062f
3 – \u0631\u0633\u0627\u0644\u0629 \u062f\u0639\u0648\u0629 \u0631\u0633\u0645\u064a\u0629 \u0642\u0628\u0644 \u062f\u062e\u0648\u0644 \u0627\u0644\u0645\u0633\u062a\u0634\u0641\u0649 \u0641\u064a \u0627\u0644\u0645\u0633\u062a\u0634\u0641\u064a\u0627\u062a \u0627\u0644\u0645\u062d\u0644\u064a\u0629 ( \u0623\u0647\u0645 )
\u0631\u0626\u064a\u0633 \u0627\u0644\u0645\u0633\u062a\u0634\u0641\u0649 \u060c \u0627\u0644\u062e\u062a\u0645 \u0627\u0644\u0631\u0633\u0645\u064a . \u0648\u0635\u0641 : \u0627\u0633\u0645 \u0627\u0644\u0645\u0631\u064a\u0636 \u060c \u0631\u0642\u0645 \u062c\u0648\u0627\u0632 \u0627\u0644\u0633\u0641\u0631 \u060c \u062a\u0634\u062e\u064a\u0635 gallstones \u060c \u062a\u0646\u0641\u064a\u0630 laparoscopic + choledochoscopic gallbladder \u2011 preserving cholecystolithotomy \u060c \u062a\u0642\u062f\u064a\u0631 \u0627\u0644\u0642\u0628\u0648\u0644 \u060c \u062a\u0642\u062f\u064a\u0631 \u0639\u062f\u062f \u0623\u064a\u0627\u0645 \u0627\u0644\u0625\u0642\u0627\u0645\u0629 \u060c \u0645\u0633\u062a\u0634\u0641\u0649 \u0627\u0644\u0627\u062a\u0635\u0627\u0644 .
4 – \u062a\u0642\u0627\u0631\u064a\u0631 \u0627\u0644\u062a\u0641\u062a\u064a\u0634 \u0627\u0644\u0645\u062d\u0644\u064a\u0629 \u0641\u064a \u0627\u0644\u0648\u0644\u0627\u064a\u0627\u062a \u0627\u0644\u0645\u062a\u062d\u062f\u0629
\u0627\u0644\u0648\u0644\u0627\u064a\u0627\u062a \u0627\u0644\u0645\u062a\u062d\u062f\u0629 \u0627\u0644\u0623\u0645\u0631\u064a\u0643\u064a\u0629 \u0628 \u0627\u0644\u0645\u0648\u062c\u0627\u062a \u0641\u0648\u0642 \u0627\u0644\u0635\u0648\u062a\u064a\u0629 \u060c \u062a\u0634\u062e\u064a\u0635 \u0627\u0644\u0637\u0628\u064a\u0628 ( \u0627\u0644\u0646\u0633\u062e\u0629 \u0627\u0644\u0625\u0646\u0643\u0644\u064a\u0632\u064a\u0629 \u0627\u0644\u0623\u0635\u0644\u064a\u0629 \u064a\u0645\u0643\u0646 \u0623\u0646 \u0644\u0627 \u062a\u062d\u062a\u0627\u062c \u0625\u0644\u0649 \u062a\u0631\u062c\u0645\u0629 ) \u060c \u062f\u0644\u064a\u0644 \u0639\u0644\u0649 \u062d\u0635\u0649 \u0641\u064a \u0627\u0644\u0645\u0631\u0627\u0631\u0629 .
5 – \u0634\u0647\u0627\u062f\u0629 \u0627\u0644\u0625\u0642\u0627\u0645\u0629 \u0627\u0644\u0645\u062d\u0644\u064a\u0629 \u0641\u064a \u0627\u0644\u0648\u0644\u0627\u064a\u0627\u062a \u0627\u0644\u0645\u062a\u062d\u062f\u0629 ( \u0631\u062e\u0635\u0629 \u0627\u0644\u0642\u064a\u0627\u062f\u0629 \u060c \u0641\u0627\u062a\u0648\u0631\u0629 \u0627\u0644\u0643\u0647\u0631\u0628\u0627\u0621 \u060c \u0641\u0627\u062a\u0648\u0631\u0629 \u0627\u0644\u0628\u0646\u0643 )
\u062a\u062b\u0628\u062a \u0623\u0646\u0643 \u062a\u0646\u062a\u0645\u064a \u0625\u0644\u0649 \u0647\u0630\u0627 \u0627\u0644\u0645\u062c\u0627\u0644 ( \u0627\u0644\u0642\u0646\u0635\u0644\u064a\u0629 \u0627\u0644\u0639\u0627\u0645\u0629 \u0641\u064a \u0627\u0644\u0648\u0644\u0627\u064a\u0627\u062a \u0627\u0644\u0645\u062a\u062d\u062f\u0629 \u0645\u0642\u0633\u0645\u0629 \u062d\u0633\u0628 \u0627\u0644\u062f\u0648\u0644\u0629 )
6 – [ \u0627\u062e\u062a\u064a\u0627\u0631\u064a ] \u064a\u0648\u0635\u0649 \u0628\u0634\u062f\u0629 \u0623\u0646 \u062a\u0623\u062e\u0630 \u0631\u062d\u0644\u0629 \u0630\u0647\u0627\u0628\u0627 \u0648\u0625\u064a\u0627\u0628\u0627 \u062a\u0630\u0643\u0631\u0629 \u0648\u0627\u062d\u062f\u0629 \u061b \u0627\u0644\u0642\u0646\u0635\u0644 \u0642\u062f \u062a\u0628\u062f\u0648 \u060c \u0644\u0627 \u0625\u0643\u0631\u0627\u0647 .
[ \u0627\u0644\u0627\u062d\u062a\u064a\u0627\u0637\u064a ] \u0627\u0644\u0628\u0646\u0643 \/ \u0634\u0647\u0627\u062f\u0629 \u0625\u064a\u062f\u0627\u0639 : \u0644\u064a\u0633 \u0645\u0637\u0644\u0648\u0628\u0627 \u0645\u0646 \u0642\u0628\u0644 \u0627\u0644\u0642\u0646\u0635\u0644\u064a\u0629 \u0641\u064a \u0627\u0644\u0648\u0644\u0627\u064a\u0627\u062a \u0627\u0644\u0645\u062a\u062d\u062f\u0629 \u060c \u0648\u0644\u0643\u0646 \u0625\u0630\u0627 \u0643\u0627\u0646 \u0627\u0644\u0642\u0646\u0635\u0644 \u064a\u0634\u0643 \u0641\u064a \u0642\u062f\u0631\u062a\u0647 \u0639\u0644\u0649 \u0627\u0644\u062f\u0641\u0639 \u060c \u0648\u0633\u0648\u0641 \u062a\u062d\u062a\u0627\u062c \u0625\u0644\u0649 \u062a\u062c\u062f\u064a\u062f \u0645\u0624\u0642\u062a\u0627 ( \u0645\u0646 \u0627\u0644\u0645\u0633\u062a\u062d\u0633\u0646 \u0625\u0639\u062f\u0627\u062f \u062d\u0648\u0627\u0644\u064a 10 \u060c 000 \u062f\u0648\u0644\u0627\u0631 ) .
\u2705 \u0645\u0631\u0627\u0641\u0642\u0629 \u0623\u0641\u0631\u0627\u062f \u0627\u0644\u0623\u0633\u0631\u0629 ( \u0627\u0644\u0623\u0642\u0627\u0631\u0628 \u060c S2 \u0627\u0644\u062a\u0637\u0628\u064a\u0642 \u0645\u0639\u0627 )
1 – \u0645\u062c\u0645\u0648\u0639\u0629 \u0643\u0627\u0645\u0644\u0629 \u0645\u0646 \u0627\u0644\u0645\u0648\u0627\u062f \u0627\u0644\u0623\u0633\u0627\u0633\u064a\u0629 ( \u062c\u0648\u0627\u0632 \u0627\u0644\u0633\u0641\u0631 \u060c \u0635\u0648\u0631\u0629 \u060c \u0639\u0646\u0648\u0627\u0646 \u0627\u0644\u0634\u0647\u0627\u062f\u0629 )
2 – \u0634\u0647\u0627\u062f\u0629 \u0645\u0631\u0627\u0641\u0642\u0629 \u0645\u0646\u0641\u0635\u0644\u0629 \u0635\u0627\u062f\u0631\u0629 \u0639\u0646 \u0627\u0644\u0645\u0633\u062a\u0634\u0641\u0649
3 – \u0634\u0647\u0627\u062f\u0629 \u0627\u0644\u0642\u0631\u0627\u0628\u0629 : \u0634\u0647\u0627\u062f\u0629 \u0627\u0644\u0632\u0648\u0627\u062c \u0648\u0634\u0647\u0627\u062f\u0629 \u0627\u0644\u0645\u064a\u0644\u0627\u062f ( \u0627\u0644\u0644\u063a\u0629 \u0627\u0644\u0625\u0646\u062c\u0644\u064a\u0632\u064a\u0629 \u064a\u0645\u0643\u0646 \u0623\u0646 \u062a\u0643\u0648\u0646 \u0623\u0635\u0644\u064a\u0629 \u060c \u0639\u0645\u0648\u0645\u0627 \u0644\u0627 \u062a\u062d\u062a\u0627\u062c \u0625\u0644\u0649 \u062a\u0648\u062b\u064a\u0642 \u061b \u0627\u0644\u0645\u0633\u0624\u0648\u0644\u064a\u0646 \u064a\u0634\u0639\u0631\u0648\u0646 \u0628\u0627\u0644\u062d\u0627\u062c\u0629 \u0625\u0644\u0649 \u062a\u0648\u062b\u064a\u0642 \u0627\u0644\u062a\u0631\u062c\u0645\u0629 )
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S2\uff0c \u0645\u0631\u0629 \u0648\u0627\u062d\u062f\u0629 \/ \u0639\u062f\u0629 \u0645\u0631\u0627\u062a \u060c \u0641\u062a\u0631\u0629 \u0627\u0644\u0625\u0642\u0627\u0645\u0629 \u062a\u0635\u0644 \u0625\u0644\u0649 180 \u064a\u0648\u0645\u0627 . \u0639\u0644\u0649 \u0623\u0633\u0627\u0633 \u062a\u0642\u062f\u064a\u0631 \u0641\u062a\u0631\u0629 \u0627\u0644\u0646\u0642\u0627\u0647\u0629 \u0641\u064a \u0627\u0644\u0645\u0633\u062a\u0634\u0641\u0649 \u0627\u0644\u062e\u0627\u0635 \u0628\u0643 \u0631\u0633\u0627\u0644\u0629 \u060c \u0639\u0627\u062f\u0629 30 \/ 60 \/ 90 \u064a\u0648\u0645\u0627 .
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