腹腔镜联合硬性胆道镜微创保胆取石(息肉)术60例临床分析  

The clinical analysis of cholecystolithiasis by laparoscope and choledochoscope for preservation of gallbladder(a report of 60 cases)

作　　者：张同领[1] 吴浩荣[1] 

机构地区：[1]苏州大学附二院普外科,江苏苏州215000

出　　处：《中国内镜杂志》2011年第6期625-628,共4页China Journal of Endoscopy

摘　　要：目的探讨联合应用腹腔镜、硬性胆道镜行微创保胆取石(息肉)术治疗胆囊结石(息肉)的适应证、优势、可行性及手术技巧。方法对2009年4月～2009年12月该科60例采用腹腔镜联合硬性胆道镜微创保胆取石(息肉)术的胆囊结石(息肉)患者病例资料进行回顾分析。结果 60例患者中,54例成功取净结石(息肉),取出结石最大直径约3.2cm,结石数最多52颗。手术时间40～120min,平均75min。术后第2天低脂流质饮食。平均住院时间5d。无手术中或术后并发症发生。6例患者中转LC。结论掌握好手术技巧,腹腔镜、硬性胆道镜联合应用微创保胆取石(息肉)术是安全可行的,同时保持了胆管的完整性及胆囊功能,临床上具有良好的应用前景。[Objective] To explore the indications,feasibility and methods of treating cholecystolithiasis by laparoscope and choledochoscope for preservation of gallbladder.[Methods] The Clinical data of 60 cases with treatment of cholecystolithiasis by laparoscope and choledochoscope for preservation of gallbladder were analyzed retrospectively.[Results] In 54 patients,cholecystolithiasis or polypi had been successfully removed.The largest calculus was 3.2 cm,the maximum was 52 in one patient.The operation time ranged from 40 to 120 minutes,averaging 75 minutes.Low fat liquid diet was given on the next operation day.The average stay was 5 days.Not any complication happened during or after operation.Laparoscopic cholecystectomy was performed on 6 patients.[Conclusions] Mastering operation technic,it is safe and feasible to treat cholecystolithiasis by laparoscope and choledochoscope for preservation of gallbladder for suitable patients,which remains integrity of biliary and gallbladder function.

关 键 词：腹腔镜 硬性胆道镜 保胆手术 微创治疗 胆囊结石 

分 类 号：R657.42[医药卫生—外科学]