天津医药

• 临床论丛 • 上一篇    下一篇

全腹腔镜下联合胆道镜行保胆取石术的临床应用

胡明秋1,宋希江2   

  1. 1. 海洋石油总医院外科
    2. 海洋石油总医院
  • 收稿日期:2010-03-11 修回日期:2010-04-22 出版日期:2010-12-15 发布日期:2010-12-15
  • 通讯作者: 胡明秋

The clinical application of cholecystolithotomy with gallbladder preserved by full laparoscopy combined with choledochoscopy

  • Received:2010-03-11 Revised:2010-04-22 Published:2010-12-15 Online:2010-12-15

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摘要： 摘要　目的:探讨全腹腔镜下联合胆道镜行保胆取石术的临床应用价值。方法:回顾性分析2008年6月至2009年5月施行的全腹腔镜下联合胆道镜保胆取石术45例。结果:45例病人全部成功完成全腹腔镜下保胆取石术，手术时间65±18.5 min，平均住院时间5.5 d。全部病例均一期缝合胆囊底部切口，未放置腹腔引流管，术后无胆漏等并发症，均痊愈出院。术后1～3个月复查Ｂ超，胆囊收缩功能良好，未见残余结石，结石取净率为100%。结论:全腹腔镜下联合胆道镜行保胆取石术既安全可靠、操作可行、创伤更小，又保留了有功能的胆囊，是一种比较理想的内镜微创保胆取石的术式。

关键词: 保胆取石, 腹腔镜, 胆道镜, 胆囊结石

Abstract: Abstract Objective：To explore the effect of cholecystolithotomy with gallbladder preserved by full laparoscopy combined with choledochoscopy for patients with gallstone. Methods：The data of 45 patients receiving cholecystolithotomy with gallbladder preserved by full laparoscopy combined with choledochoscopy from Jun 2008 to May 2009 were retrospectively analyzed. Results：All of these cases were performed successfully by full laparoscopy combined with choledochoscopy . The average operative time was 65±18.5 min.The average postoperative hospital stay was 3.5 days.The complete removal of the stones was proved by choledochoscope and the incision on the gallbladder was closed by sutures by full laparoscopy.No peritoneal drainage was needed. There was no postoperative bile leakage. Conclusion：Compared with other surgical methods with gallbladder preserved, cholecystolithotomy by full laparoscopy combined with choledochoscopy is an effective, safe and more micro-invasive method in treating gallstone while preserving the gallbladder function.

Key words: cholecystolithotomy with gallbladder preserved, laparoscopy, choledochoscopy, gallstone