经脐内镜下保胆取石术治疗胆石症及可吸收夹在该术式中的应用效果观察  

Observation on the treatment of cholelithiasis with gallbladder⁃preserving lithotomy under transumbilical endoscope and the application effect of absorbable clips in the surgical procedure

作　　者：黄印 尹梦婕 黄鹏宇[2] 黄宗声 郭先文[2] 梁列新[2] 梁运啸[2] HUANG Yin;YIN Mengjie;HUANG Pengyu;HUANG Zongsheng;GUO Xianwen;LIANG Liexin;LIANG Yunxiao(Youjiang Medical University for Nationalities,Baise 533000,China;Department of Gastroenterology,the People′s Hospital of Guangxi Zhuang Autonomous Region(Guangxi Academy of Medical Sciences),Nanning 530021,China)

机构地区：[1]右江民族医学院,百色533000 [2]广西壮族自治区人民医院(广西医学科学院)消化内科,南宁530021

出　　处：《中国临床新医学》2024年第11期1283-1287,共5页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的观察经脐内镜下保胆取石术治疗胆石症的疗效及可吸收夹在该术式中的应用效果。方法回顾性分析2020年8月至2021年8月于广西壮族自治区人民医院行经脐内镜下保胆取石术的7例胆石症患者的临床资料,对手术效果进行总结。结果7例患者均顺利完成手术,手术时间121~275 min。术中出血量≤10 mL者6例,>20 mL者1例。术中使用可吸收夹4~10个。胆囊闭合耗时29~93 min。术后首次肛门排气或排便时间24~36 h。术后2例出现轻微术口疼痛,可自行缓解。住院时间6~10 d,均无发热、胆瘘、闭合不佳等并发症,随访评估胆囊功能均良好。结论经脐内镜下保胆取石术治疗胆石症及可吸收夹在该术式中的应用安全可行,值得临床推广。Objective To observe the therapeutic effect of gallbladder-preserving lithotomy in cholelithiasis under transumbilical endoscope and the application effect of absorbable clips in the surgical procedure.Methods The clinical data of 7 patients with cholelithiasis who underwent gallbladder-preserving lithotomy under transumbilical endoscope in the People′s Hospital of Guangxi Zhuang Autonomous Region from August 2020 to August 2021 were retrospectively analyzed,and their surgical effects were summarized.Results The operations of the 7 patients were successfully completed,and the operation time was 121-275 minutes.There were 6 cases with intraoperative blood loss≤10 mL and 1 case with intraoperative blood loss>20 mL.Four to ten absorbable clips were used during the operations.The closure time of gallbladders was 29-93 minutes.The time of first anal exhaust or first defecation after the operations was 24-36 hours.Mild postoperative pain occurred in 2 cases,and the pain could be relieved by itself.The duration of hospitalization was 6-10 days,and no complications such as fever,biliary fistula and poor closure were found during hospitalization.The follow-up evaluations showed good gallbladder function in the patients.Conclusion The treatment of cholelithiasis with gallbladder-preserving lithotomy under transumbilical endoscope and the application of absorbable clips in the surgical procedure are safe and feasible,and worthy of clinical promotion.

关 键 词：胆石症 保胆取石术 经自然腔道内镜手术 可吸收夹 

分 类 号：R657.4[医药卫生—外科学]