LC术后胆囊管残端过长与继发性胆总管结石形成26例临床分析  

Excessively long cystic duct remnant after laparoscopic cholecystectomy and secondary common bile duct stones:clinical analysis of 26 cases

作　　者：何振飞[1] 

机构地区：[1]江苏省常州市第二人民医院普外科,江苏常州213003

出　　处：《实用临床医药杂志》2011年第9期123-124,共2页Journal of Clinical Medicine in Practice

摘　　要：目的探讨腹腔镜胆囊切除术(LC)术后胆囊管残端过长与继发性胆总管结石形成的诊断、预防和治疗。方法回顾性分析26例LC术后胆囊管残端过长与继发性胆总管结石形成患者的临床处理经验。结果 26例患者均经磁共振胰胆管成像(MRCP)检查明确诊断。26例患者中20例行经腹手术治疗,4例经十二指肠内镜行Oddi括约肌切开取石。2例行非手术治疗后胆总管结石自行排出。结论 MRCP检查可有效预防和诊断LC术后胆囊管残端过长与继发性胆总管结石形成,开腹手术治疗能彻底去除病因,并防止胆总管结石的复发。Objective To discuss how to diagnose,prevent and treat excessively long cystic duct remnant after laparoscopic cholecystectomy and secondary common bile duct stones.Methods Experience in handling 26 cases with excessively long cystic duct remnant after laparoscopic cholecystectomy and secondary common bile duct stones has been reviewed and analyzed.Results Twenty-six cases were all diagnosed by MRCP examination.Twenty cases took laparotomy surgery.Four cases removed common bile duct stones by endoscopic sphincterotomy（EST） with duodenum endoscopy.Two cases took non-surgical treatment and common bile duct stones discharged automatically.Conclusion MRCP examination can effectively diagnose and prevent excessively long cystic duct remnant after laparoscopic cholecystectomy and secondary common bile duct stones.Laparotomy surgery is the main treatment which can completely remove the cause and prevent recurrence of common bile duct stones.

关 键 词：腹腔镜胆囊切除术 胆囊管残端过长 胆总管结石 

分 类 号：R657.4[医药卫生—外科学]