腹腔镜辅助胆道镜保胆取石55例临床分析  

Clinical analysis of laparoscopic-assisted gallbladder-preserving cholelithotomy for 55 cases

作　　者：操海舟 孙振芝 李少伟[1] 杨晓波[1] 

机构地区：[1]武警北京总队医院外一科,北京100027

出　　处：《中国医药导报》2013年第27期149-150,共2页China Medical Herald

摘　　要：目的探讨腹腔镜辅助胆道镜保胆取石术治疗胆囊结石的可行性及应用价值。方法回顾性分析武警北京总队医院2009年6月～2012年11月55例胆囊结石患者行腹腔镜辅助胆道镜保胆取石术治疗的临床资料。结果本组55例患者,3例患者因术中探查发现胆囊炎较重改行腹腔镜胆囊切除术,余52例均成功完成腹腔镜辅助胆道镜保胆取石术。手术时间60～135 min,平均75 min。无出血、胆瘘、继发性胆总管结石、急性胰腺炎等手术相关并发症。随访3～30个月,未见结石复发。结论腹腔镜辅助胆道镜保胆取石术保留了胆囊功能,手术安全、微创、可行。Objective To evaluate the feasibility and clinical value of laparoseopic-assisted gallbladder-preserving cholelithotomy. Methods The clinical data of 55 cases with laparoscopic-assisted gallbladder-preserving cholelithotomy treatment in Beijing Armed Police Corps Hospital from June 2009 to November 2012 were retrospectively analyzed. Results Severe cholecystitis was found in 3 patients and treated by laparoscopic choleeystectomy. 52 cases were suc- cessfully performed laparoscopic-assisted gallbladder-preserving cholelithotomy. The operation trine was 60-135 min, average of 75 rain. There was no postoperative complication, such as hemorrhage, biliary fistula, secondary choledo- cholithiasis or acute pancreatitis. Patients were followed up for 3-30 months, and no recurrence of stones was found. Conclusion Laparoscopic-assisted gallbladder-preserving cholelithotomy reserves the function of the gallbladder, and it is safe, feasible and minimally invasive for cholecystolithiasis.

关 键 词：胆囊结石 保胆取石 腹腔镜 胆道镜 

分 类 号：R657.42[医药卫生—外科学]