新式内镜微创保胆取石术初步探讨  

Preliminary investigation of new type endoscopic minimally invasive conserving-gallbladder lithotomy

作　　者：邹衍泰[1] 周杰[1] 

机构地区：[1]南方医科大学南方医院惠侨楼肝胆外科,广东广州510515

出　　处：《岭南现代临床外科》2011年第2期91-92,128,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨新式内镜微创保胆取石术的临床应用价值。方法回顾分析我院在2007年12月～2010年6月收治30例胆囊结石采用内镜微创保胆取石术的临床资料。结果本组30例,29例取石成功,1例失败((因胆囊隔膜结石嵌顿而中转胆囊切除术)。术后无并发症发生。术后随访6-36月,胆囊结石复发1例(术后1年)。结论内镜微创保胆取石术具有安全性高、操作简单、患者创伤小、并发症少等优点,结石复发率低,适合胆囊功能良好的患者。Objectives To investigate the applied value of new type endoscopic minimally invasive conserving-gall bladder lithotomy. Methods From December 2007 to June 2010,the clinical data of 30 cases with cholecystolithiasis received endoscopic minimally.incasive conserving-gall bladder lithotomy were analyzed retrospectively. Results Among 30 cases,lithotomyes were performed successfully in 29 cases. And 1 case of lithotomy was failing （Because of incarcerated cystic diaphragm stone, the patient was transferred to open cholecystectomy.No complication was found after operation. Postoperative follow-up time ranged from 6-36 months. Recurrence of cholecystolithiasis was in 1 case one year after operation. Conclusions Endoscopic minimally invasive conserving-gall bladder lithotomy possesses safety, simple manipulation,less trauma, few complication and a lower recurrence rate of stone. It is suitable to patiens with a good function of gall bladder.

关 键 词：胆囊结石 胆道镜 微创保胆治疗 

分 类 号：R657.4[医药卫生—外科学]