腹腔镜手术治疗I型Mirizzi综合征  

Treatment of type I Mirizzi syndrome by laparoscopy

作　　者：孙刚[1] 王梦炎[1] 水嫣琼[2] 蒋小春[1] 吕程[1] 罗灿军[1] 

机构地区：[1]解放军113医院普外科,浙江宁波315040 [2]解放军113医院放射科,浙江宁波315040

出　　处：《中国实用医刊》2012年第3期6-7,共2页Chinese Journal of Practical Medicine

摘　　要：目的探讨腹腔镜胆囊切除治疗I型Mirizzi综合征的手术方法及效果。方法选择2000年6月至2010年6月解放军113医院经手术证实的42例Mirizzi综合征患者，按Csendes分型，I型28例，全部采取腹腔镜手术治疗，并对其临床资料进行分析总结。结果28例中16例行胆囊切除术，12例行胆囊大部切除术。术中胆管损伤2例，镜下修补1例，中转开腹修补1例。术后漏胆2例，保守治疗后痊愈。27例获随访6个月～10年，愈后情况良好。结论腹腔镜治疗I型Mirizzi综合征是安全可行的。Objective To investigate the effect and method of laparoscopic cholecystectomy （LC） for type I Mirizzi syndrome. Methods From June 2000 to June 2010, 28 cases of type I Mirizzi syndrome according to Csendes＇ type were treated with laparoscopic cholecystectomy, and the clinical data were retrospectively summarized. Results In these patients, 16 cases were peformed with LC suc- cessfully, with 12 cases of part cholecystectomy. Bile duct injury were happened intraoperatively in 2 ca- ses, with 1 case was repaired under laparoscopy and one case was repaired by open surgery. Two cases suffered from bile leakage, gained recovery after expectant treatment. The follow-up time was 6 months to 10 years, recovery was good. Conclusions LC for type I Mirizzi syndrome is safe and feasible.

关 键 词：MIRIZZI综合征 腹腔镜 胆囊切除术 

分 类 号：R657.4[医药卫生—外科学]