保胆取石术后再行胆囊切除手术24例分析  

Salvage cholecystectomy for gall stone recurrence after gallbladder-preserving cholelithotomy

作　　者：李开富[1] 刘东斌[1] 王悦华[1] 郑亚民[1] 梁阔[1] 刘家峰[1] 徐大华[1] Li Kaifu;Liu Dongbin;Wang Yuehua;Zheng Yamin;Liang Kuo;Liu Jiafeng;Xu Dahua(Department of General Surgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院普外科,北京100053

出　　处：《中华普通外科杂志》2022年第1期13-16,共4页Chinese Journal of General Surgery

基　　金：人事部留学人员科技活动择优资助项目(008-0095)。

摘　　要：目的探讨保胆取石术后再行胆囊切除术原因及预后转归。方法回顾性分析宣武医院普外科于2015年7月~2019年12月收治的24例外院保胆取石术后再行胆囊切除手术患者的临床资料。结果22例患者胆囊结石复发,其中19例为有症状胆囊结石。另有2例无结石复发患者分别因胆囊占位、胆总管结石并急性胆管炎手术。最终23例成功行腹腔镜胆囊切除术,1例中转开腹手术,均无严重并发症。结论保胆取石术后胆囊结石复发常需行胆囊切除,多可经腹腔镜途径进行。Objective To investigate the causes and prognosis of salvage cholecystectomy for relapsing cholecystolithiasis after gallbladder-preserving gall stones removal surgery.Methods From Jul 2015 to Dec 2019,24 referral patients with gallstone recurrence after gallbladder-preserving cholelithotomy surgery received salvage cholecystectomy.The clinical data was analyzed to explore the causes for re-operation and the prognosis.Results Twenty-two cases had definite gallstone recurrence,among them 19 cases were symptomatic,2 cases were operated on suspected gallbladder tumor and common bile duct stones induced acute cholangitis.Laparoscopic cholecystectomy was successfully performed in 23 cases and 1 case was converted to open surgery.No severe complication were observed in all the patients.Conclusions Symptomatic gallstone recurrence is the most common causes of salvage cholecystectomy after gallbladder-preserving cholelithotomy.Laparoscopic surgery procedure is still highly successful.

关 键 词：胆囊结石病 胆囊切除术 保胆手术 再手术 复发 

分 类 号：R657.4[医药卫生—外科学]