腹腔镜联合胆道镜保胆取石术的临床价值  

Clinical value of cholecyst retention cholelithotomy with laparoscopy and choledochoscopy

作　　者：冯明明[1] 张文方[1] 王庆元[1] 孙万日[1] 郭胜利[1] 

机构地区：[1]河南省南阳市中心医院,河南南阳473009

出　　处：《实用临床医药杂志》2011年第17期82-83,86,共3页Journal of Clinical Medicine in Practice

基　　金：中国高校医学期刊临床专项资金资助项目(41120001)

摘　　要：目的分析腹腔镜联合纤维胆道镜保胆取石术治疗胆囊结石的临床疗效和并发症。方法回顾性分析应用腹腔镜联合纤维胆道镜保胆取石术的胆囊结石患者55例,统计手术成功率、手术时间、手术损伤、住院时间及术后并发症情况。结果 55例患者保胆手术成功率为98.2%,手术时间平均(48.2±4.3)min;术中出血平均(13.3±2.5)mL;住院时间平均(3.9±0.5)d。所有患者术后均未发生胆漏、出血、切口感染、腹泻等并发症。结论腹腔镜联合纤维胆道镜保胆取石术是一种安全、高效的手术方法,值得临床进一步推广应用。Objective To analyze the clinical effect and complications of cholecyst retention cholelithotomy with laparoscopy and choledochoscopy on cholecystolithiasis.Methods Fifty-five cases of cholecystolithiasis who received cholecyst retention cholelithotomy with laparoscopy and choledochoscopy were retrospectively analyzed.The success rate,operation time,operation injury,length of stay and complications after operation were recorded.Results The success rate was 98.2%,average operation time was（48.2±4.3） min,average amount of bleeding was（13.3±2.5） mL,and average length of stay was（3.9±0.5）.There were no biliary leaks,bleeding,infection and diarrhea in all 55 patients.Conclusion The method of cholecyst retention cholelithotomy with laparoscopy and choledochoscopy on cholecystolithiasis is a safe and efficient surgical approach.It＇s worth to be popularized and applied.

关 键 词：腹腔镜 胆道镜 保胆取石术 

分 类 号：R657.4[医药卫生—外科学]