三镜联合治疗胆囊残留病变的效果观察  

Efficacy of Laparoscopy Combined with Choledochoscopy and Duodenoscopy on Residual Gallbladder in 56 Cases

作　　者：邓明飞[1] 张毅 段绍斌[1] 居来提·艾力[1] 杨东鹰[1] 

机构地区：[1]新疆医科大学附属中医医院普外一科,新疆乌鲁木齐市830000 [2]麻醉科

出　　处：《中国全科医学》2011年第24期2795-2796,共2页Chinese General Practice

摘　　要：目的探讨腹腔镜、胆道镜、十二指肠镜联合治疗胆囊残留病变的效果。方法选取我院2000年1月—2009年6月收治的56例胆囊残留病变患者,采用腹腔镜、胆道镜、十二指肠镜联合治疗,观察治疗后疗效。结果本组56例患者手术均成功,除1例残余胆囊癌患者中转开腹外,其余均在腹腔镜及内镜下完成并治愈出院。未出现腹腔感染、肠梗阻等严重并发症。术后平均住院时间5 d（3~16 d）。结论三镜联合治疗胆囊残留病变安全可靠,且创伤小,患者恢复较快,有良好的应用价值。Objective To explore the feasibility and effect of laparoscopy combined with choledochoscopy and duode- noscopy in treating residual gallbladder disease. Methods The clinical data of 56 cases in our hospital from January 2000 to June 2009 who had undergone the treatment of laparoscopy combined with choledochoscopy and duodenoscopy were analyzed retro spectively. Results The operation in 55 cases were successfully performed by laparoscopy combined with choledochoscopy and duodenoscopy; in one case open operation was performed because of residual gallbladder carcinoma. Severe complications including intraabdominal infections and intestinal obstruction were observed in none of these cases. Average length of postoperative stay was 5 days （3 - 16 days） . Conclusion The treatment of laparoscopy combined with eholedochoscopy and duodenoscopy is safe and less invasive. It promises a quick recovery to the patients and is of good application value.

关 键 词：胆囊切除术 腹腔镜 胆道镜 十二指肠镜 胆囊残留病变 

分 类 号：R575.6[医药卫生—消化系统]