腹腔镜联合胆道镜保胆疗胆囊结石和胆囊息肉的疗效观察  

作　　者：阎九亮[1] 杜卫东[1] 傅永清[1] 周剑[1] 徐涛[1] 李宁[1] 

机构地区：[1]浙江中医药大学附属第一医院,310006

出　　处：《浙江临床医学》2017年第7期1236-1237,共2页Zhejiang Clinical Medical Journal

摘　　要：目的观察腹腔镜联合胆道镜保胆手术治疗胆囊结石和胆囊息肉疗效。方法104例（胆囊结石49例，胆囊息肉55例）患者行腹腔镜联合胆道镜保胆取石或息肉手术。观察患者术后并发症发生率和结石（息肉）复发率。结果104例患者术后无明显并发症发生，结石复发3例，息肉复发2例。结论完全腹腔镜联合胆道镜保胆取石或息肉手术切实可行，严格掌握好适应证可降低术后复发率，提高疗效。Objective To observe the curative effect of laparoscopy combined with choledochoscopy for gallbladder preserving surgery in the treatment of gallbladder stone and gallbladder polyps. Methods 104 cases who underwent laparoscopic cholecystectomy combined with choledochoscopy surgery were selected in our study, with 49 cases gallbladder stone and 55 cases gallbladder polyps. The incidence of postoperative complications and the recurrence rate of stones （polyps） were observed. Results 104 cases had no obvious postoperative complications, 3 cases stone recurrence and 2 cases polyps recurrence. Conclusion Laparoscopy combined with choledochoscopy for gallbladder preserving surgery in the treatment of gallbladder stone and gallbladder polyps is feasible, and a good grasp of indications can reduce the recurrence rate and improve the curative effect.

关 键 词：胆囊结石 胆囊息肉 保胆 

分 类 号：R657.4[医药卫生—外科学]