保胆手术，应该慎行  

作　　者：吕文才[1] 付维利[1] 郎桂玲[1] 贾莉[2] 

机构地区：[1]辽宁省大连市友谊医院普外三科,大连116001 [2]辽宁省大连市友谊医院超声科,大连116001

出　　处：《中华肝胆外科杂志》2014年第3期228-231,共4页Chinese Journal of Hepatobiliary Surgery

摘　　要：“新式微创保胆”方法治疗胆囊结石方兴未艾，渐成风气。但究其实质仍为以往保胆手术的翻版，并无新意。胆囊虽有一定的功能，但是功能有限，并非不可丧失，更不应为保胆寻找理由而将其功能无限夸大。绝大多数患者切除胆囊后生活质量良好。在胆囊结石成因不明的情况下，至今还没有一个确切的措施可以预防结石的发生。因此，保胆取石术后的结石高复发率难以避免。切除胆囊可以避免诸多保胆的并发症，收益大于风险，有其合理性，也符合外科治疗的原则。因为胆囊切除术有一定的并发症就拒绝甚至将其妖魔化显然是错误的。A new minimally invasive gallbladder-preserving operation has emerged for the treatment of gallbladder stones,but fundamentally it is a replica of the previous gallbladder preservation method.The gallbladder aids in digestion but is not essential for life.Its function should not be exaggerated and should not instigate trivial reasons for its preservation.Most patients undergoing cholecystectomy maintain a good quality of life.The causes,mechanisms,and prevention of gallstone formation remains mysterious,so a high recurrence rate after gallbladder-preserving operation is difficult to avoid.A full cholecystectomy can avoid recurrence complications and the benefits outweigh the risks.A discussion of the benefits and complications must be initiated to evaluate both treatment modalities for gallstones.

关 键 词：保胆手术 胆囊功能 结石 复发 

分 类 号：R657.4[医药卫生—外科学]