残余胆囊的诊治  

The diagnosis and therapy of the residual gallbladder after cholecystectomy

作　　者：郑明友[1] 汪涛[1] 何世举[1] 

机构地区：[1]重庆市第三人民医院肝胆外科,400014

出　　处：《临床外科杂志》2003年第4期236-237,共2页Journal of Clinical Surgery

摘　　要：目的　探讨残余胆囊的诊治及预防。方法　残余胆囊切除 4例 ,残余胆囊切除、胆总管探查、T管引流术 10例 ,残余胆囊切除、肝胆管空肠Roux Y吻合术 2例 ,EST3例 ,EST后残余胆囊切除 1例。结果　近远期疗效佳 19例 ,欠佳 1例 ,无手术死亡。结论　ERCP是诊断残余胆囊及并存病的最佳检查方法 ,无结石和胆囊管梗阻的残余胆囊并非一定需切除 ,重视每一例胆囊切除术、精细解剖。Objective To investigate the diagnosis,therapy and prevention of residual gallbladder.Methods Residual cholecystectomy was performed on 4 cases,residual cholecystectomy and choledochostomy on 10 cases,residual cholecy stectomy and Roux-en-y hepatico-jejunostomy 2 cases,Endoscopic sphincterotomy (EST) on 3 cases,EST and residual cholecystectomy on 1 case in our hospital from Jan 1990 to May 2002,were analyzed retrospectively.Results The short and long-term results were satisfactory in 19 patients,there wasn't,tpostoperative death.Conclusion Endoscopic retrograde cholangio pancreatography (ERCP) is optimal in diagnosing the disease.If it wasn't lithiasis or obstruction in cystic duct,the residual gallbladder needn't resecting.Careful operation,clear anatomy of Calot's triangle and intraoperative cholangiography by cystic duct could prevent the residual gallbladder.

关 键 词：残余胆囊 诊断 治疗 预防 

分 类 号：R657.4[医药卫生—外科学]