腹腔镜、胆道镜联合微创保胆取石术的临床应用(附30例报告)  

Clinical application of laparoscope combined with choledochoscope for removing calculi and conserving-gallbladder (A report of 30 cases)

作　　者：吴志扬[1] 马德奎[2] 唐志良[2] 陈向清[1] 卢德光[1] 陈明[1] 曾锦涛[1] 关于锋[1] 刘亚荣[1] 韩连中[1] 

机构地区：[1]肇庆市中医院肝胆外科,广东肇庆526020 [2]肇庆市第一人民医院肝胆外科,广东肇庆526021

出　　处：《岭南现代临床外科》2010年第3期172-174,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨腹腔镜、胆道镜联合微创保胆取石术的临床应用价值。方法回顾分析我院采用腹腔镜、胆道镜联合微创保胆取石术治疗30例胆囊功能正常的胆囊结石患者的临床资料。结果 30例均成功取尽结石,结石直径介于1cm～2.5cm,平均手术时间50min,出血10～30ml,平均住院5.5d。手术后无出血、胆漏及心肺等并发症发生。术后随访1～29个月,中位随访时间9个月;1复发1例,复发率3.3%。结论腹腔镜、胆道镜联合微创保胆取石术保持了胆道的完整性及胆囊功能,具有安全性高、操作简单、患者创伤小、康复快等优点,结石复发率低,适合胆囊功能正常的胆囊结石病人。Objective To explore the value of minimally invasive surgery for removal of calculus and preservation of gallbladder with laparoscope and choledochoscope. Methods The clinical data of 30 patients with cholecystolithiasis who underwent minimally invasive surgery for removal of calculus and preservation of gallbladder were analyzed retrospectively. Results The gall stones were removed successfully in all cases.The diameter of stone ranged from 1cm to 2.5 cm.The average operative time was 50 min,blood loss was 10 ml-30 ml,and mean hospitalization was 5.5 days.No postoperative bleeding,bile leakage,cardiopulmonary complication occurred. All patients were followed up for 1month to 29 months and the mediate follow-up time was 9 months. Only one case relapse recurred, and the recurrence rate was 3.3%. Conclusions The minimally invasive surgery using laparoscope combined with choledocoscope for removal of calculus and preservation of gallbladder is safe and feasible. It keeps the integrity of biliary tract and the function of gallbladder, and has the advantages of simplicity, less trauma, slight pain and quick recovery. The recurrence rate of stone is relatively low. This procedure is suitable to the patients with cholecystolithiasis of normal function of gall bladder.

关 键 词：腹腔镜 胆道镜 胆囊结石 微创手术 

分 类 号：R657.4[医药卫生—外科学]