腹腔镜联合胆道镜保胆取息肉112例临床分析  

Clinical analysis on cholecystic polyp removal by laparoscopy and choledochoscopy for preservation of gallbladder(a report of 112 cases)

作　　者：谷建斌[1] 张国欣[2] 张景承[1] 李振符[1] 张玉斌[1] 耿蕴峰 宋铁鹰[3] 

机构地区：[1]石家庄市第一医院肝胆外科,河北石家庄050011 [2]石家庄市第一医院肾内科,河北石家庄050011 [3]石家庄市第一医院麻醉科,河北石家庄050011

出　　处：《临床军医杂志》2015年第1期7-9,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨腹腔镜联合胆道镜保胆取息肉术的临床应用价值。方法对我院2009年1月--2011年5月期间112例行腹腔镜联合胆道镜保胆取息肉术患者的临床资料进行回顾性分析。结果112例均顺利行腹腔镜联合胆道镜保胆取息肉术，病理诊断胆固醇息肉87例（77．67％），胆囊腺瘤17例（15．18％），胆囊炎性息肉8例（7．14％），无恶性病变者。术后2例发生切口脂肪液化，余无并发症发生。96例（85．7％）患者术后随访30～56（41．9±6．3％）个月，3例（3．13％，3／96）多发胆固醇息肉患者复发，无胆囊癌发生。结论腹腔镜联合胆道镜保胆取息肉术安全、微创、有效。Objective To discuss the clinical application value of eholecystic polyp removal by laparoscopy and eholedochoscopy for preservation of gallbladder. Methods Retrospective analysis of 112 patients with cholecystic polyps admitted to the hospital from January 2009 to May 2011 and treated by operation was performed. Results The choleeystic polyps in the 112 cases were suc- cessfully resected by laparoscopy and eholedochoseopy. The pathological diagnoses of the polyps consisted of gallbladder cholesterol polyps in 87 （77.67%） , gallbladder neoplastic polyps in 17 （ 15.18% ） and chronic inflammatory polyps in 8 （7.14%） cases. There were two patients with fat liquefaction in the incisions and no complications occurred in the other patients. According to the follow-up of 30 - 56 （41.9 ± 6.3 ） months in 96 （85.7%） patients, 3 （3.13% , 3/96 ） patients with gallbladder cholesterol pol- yps underwent recurrence and no gallbladder carcinoma occurred. Conclusion The combination of laparoscopy and choledochosco- py with gallbladder preservation is a secure, effective and minimally invasive method to the treatment of cholecystic polyps.

关 键 词：胆囊息肉 保胆手术 腹腔镜 胆道镜 

分 类 号：R657.4[医药卫生—外科学]