内镜保胆取石术临床研究现状  

Current Status of Clinical Research on Endoscopic Cholecystolithotomy with Reservation of Gallbladder

作　　者：王旭[1] 王翔翔[1] 唐彤[1] 孙建明[1] 

机构地区：[1]四川省达州市中心医院肝胆外科中心,达州635000

出　　处：《中国普外基础与临床杂志》2009年第9期773-776,共4页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的介绍内镜保胆取石术的临床研究现状。方法复习和总结了近年来的相关文献,对保胆的依据、保胆取石术的优势及其适应证和禁忌证、手术方法、当前存在的争议等问题进行综述。结果胆囊切除术后并发症为内镜保胆取石术提供了客观依据,内镜技术上的进步为保胆提供了可能。内镜保胆取石术的争议主要是适应证的选择和手术操作,不恰当地选择病例,盲目追求保胆取石将使胆囊结石的治疗事与愿违。结论内镜保胆取石术能够取尽结石,保留胆囊功能,但术后结石复发有待更进一步的研究和长期随访。Objective To introduce the current status of clinical research on endoscopic cholecystolithotomy with reservation of gallbladder. Methods Literatures related to the basis, advantage, indication, contraindication, operative method and current controversy were reviewed and summarized. Results The objective evidences were afforded by postoperative complications of cholecystectomy for endoscopic cholecystolithotomy with reservation of gallbladder. The progress of endoscopic technique made it possible for reservation of gallbladder. The controversy in endoscopic cholecystolithotomy with reservation of gallbladder was focused on the choice of indications and operative procedure. Incorrect patient selection and undue pursuit of cholecystolithotomy with reservation of gallbladder would be completely opposite to the treatment of gallstone. Conclusion It is feasible for endoscopic cholecystolithotomy with reservation of gallbladder to remove completely stone and reserve gallbladder function, but further investigation and long-term follow up are required to delineate gallstone recurrence after operation.

关 键 词：内镜 保胆 取石 胆囊结石 

分 类 号：R657.4[医药卫生—外科学]