胆囊切除术后残余胆囊的防治探讨  

Prevention and treatment of the remnant gallbladder after cholecystectomy

作　　者：高卉[1] 李军[1] 王芳元[1] 郑朝新[1] 

机构地区：[1]咸宁学院医学院外科学教研室,湖北咸宁437100

出　　处：《现代医药卫生》2007年第8期1130-1132,共3页Journal of Modern Medicine & Health

摘　　要：目的:探讨胆囊切除术后残余胆囊的防治方法。方法:回顾性分析10年间收治的17例胆囊切除术后残余胆囊的临床资料。结果:17例中初次手术行经典胆囊切除术9例,小切口胆囊切除术3例,腹腔镜胆囊切除术5例。采用超声、CT、ERCP和MRCP等影像学方法可在术前明确诊断残余胆囊。17例均再次手术成功,切除残留胆囊,症状均消失,疗效满意。结论:合理掌握胆囊切除术的手术时机和手术方式,术中解剖清楚胆囊三角,在距胆总管0.3～0.5cm处切断结扎胆囊管,是预防残余胆囊的关键;手术切除是治疗该病的有效方法。Objective：To summarize our experience in the prevention and treatment of the remnant gallbladder after cholecystectomy.Method：The clinical data in 17 cases of the remnant gallbladder after cholecystectomy were retrospectively analyzed.Results：Of 17 cases,9 patients underwent conventional cholecystectomy （CC）,3 patients underwent mini-lapcholecystectomy （MC）,5 patients underwent laparoscopic cholecystectomy（LC）.Remnant gallbladder was confirmed in all cases by ultrasound,CT,MRCP and ERCP pre-operatively.All these patients underwent the second laparotomy,the remnant gallbladder were excised successfully.Conclusion：To prevent remnant gallbladder,it is important to choose the proper timing and mode of cholecystectomy,anatomize Calot＇s triangle clearly and cut cystic duct 0.3-0.5 cm apart from common duct;and surgery is the effective treatment for this disease.

关 键 词：胆囊切除术 残余胆囊 防治 

分 类 号：R6[医药卫生—外科学]