腹腔镜联合胆道镜胆囊部分切除保胆术治疗胆囊结石合并胆囊畸形的临床观察  

Clinical observation of laparoscopic combined choledochoscope partial cholecystectomy and preservation of gallbladder in the treatment of gallbladder stones with gallbladder malformations

作　　者：兰云霞 LAN Yunxia(Second Department of Hepatobiliary Surgery,Dalian Friendship Hospital,Liaoning Province,Dalian,Liaoning,116001,China)

机构地区：[1]辽宁省大连市友谊医院肝胆外二科,辽宁大连116001

出　　处：《当代医学》2021年第20期35-37,共3页Contemporary Medicine

摘　　要：目的探讨腹腔镜联合胆道镜胆囊部分切除保胆术治疗胆囊结石合并胆囊畸形的临床效果。方法选取本院2017年5月至2019年5月收治的84例胆囊结石合并胆囊畸形患者,根据不同治疗方案分为两组,各42例。对照组行传统开腹胆囊切除术治疗,观察组行腹腔镜联合胆道镜胆囊部分切除保胆术治疗,比较两组手术指标、并发症发生率及复发率。结果两组手术时间比较差异无统计学意义;观察组术中出血量为(104.92±32.46)mL,少于对照组的(131.62±44.37)mL,排气时间为(24.59±4.57)h、住院时间为(8.56±2.92)d,短于对照组的(27.62±5.14)h、(10.17±2.48)d(P<0.05);观察组并发症发生率为9.52%,低于对照组的28.57%(P<0.05);两组胆管再发结石率比较差异无统计学意义。结论腹腔镜联合胆道镜胆囊部分切除保胆术治疗胆囊结石合并胆囊畸形效果显著,可在不增加结石复发风险的前提下,有效减少患者的术中出血量,降低并发症发生风险,促进患者康复。Objective To investigate the clinical effect of laparoscopic combined choledochoscope partial cholecystectomy and preservation of gallbladder in the treatment of gallbladder stones with gallbladder malformations.Methods A total of 84 patients with gallbladder stones and gall-bladder malformations admitted to our hospital from May 2017 to May 2019 were selected,and they were divided into two groups according to dif-ferent treatment plans,with 42 cases in each group.The control group was treated with traditional open cholecystectomy,and the observation group was treated with laparoscopic combined choledochoscope partial cholecystectomy and preservation of gallbladder.The surgical indicators,the inci-dence of complications,and recurrence rate were compared between the two groups.Results There was no significant difference between the oper-ation time between the two group;the intraoperative blood lossin the observation group was(104.92±32.46)mL,which was less than(131.62±44.37)mL in the control group,and the exhaust time in the observation group was(24.59±4.57)h and hospitalization time in the observation group-was(8.56±2.92)d,which were shorter than(27.62±5.14)h and(10.17±2.48)d in the control group(P<0.05);the complication rate of the observa-tion group was 9.52%,which was lower than 28.57%of the control group(P<0.05);there was no significant difference in the rate of bile duct stone recurrence between thetwo groups.Conclusion Laparoscopy combined with choledochoscope partial cholecystectomy for the treatment of gallblad-der stones with gallbladder malformations can effectively reduce the patient's intraoperative blood loss,reduce the risk of complications,and promote patient recovery without increasing the risk of stone recurrence.

关 键 词：胆道镜 腹腔镜 胆囊部分切除保胆术 胆囊畸形 结石 并发症 

分 类 号：R657.4[医药卫生—外科学]