腹腔镜联合胆道镜行保胆取石术治疗胆囊结石的体会

汪大海; 戴永泽

doi:10.3969/j.issn.1001-5256.2016.04.032

腹腔镜联合胆道镜行保胆取石术治疗胆囊结石的体会

DOI: 10.3969/j.issn.1001-5256.2016.04.032

黄梅县人民医院普外科

详细信息

中图分类号: R657.42
计量
- 文章访问数: 2050
- HTML全文浏览量: 15
- PDF下载量: 534
- 被引次数: 0
出版历程
- 出版日期: 2016-04-20

Gallbladder- preserving cholelithotomy by laparoscopy and cholangioscopy for cholecystolithiasis

Department of General Surgery, The People′s Hospital of Huangmei County

摘要

摘要:
目的探讨腹腔镜联合胆道镜行保胆取石术治疗胆囊结石的手术方法及效果。方法回顾性分析2012年3月-2013年6月黄梅县人民医院收治的48例腹腔镜联合胆道镜行保胆取石手术患者的临床资料。结果 48例患者术后恢复顺利,无并发症发生,1例术后6个月胆囊再次形成结石,1例术后1年出现胆囊萎缩。结论腹腔镜联合胆道镜行保胆取石是可行的、安全的,近期效果满意,远期效果有待观察。
- 胆囊结石病 /
- 腹腔镜检查 /
- 消化系统外科手术
Abstract:
Objective To investigate the method and efficacy of cholelithotomy by laparoscopy and cholangioscopy,a controversial therapy for cholecystolithiasis. Methods Forty- eight patients with cholecystolithiasis who were admitted to our hospital and treated with gallbladder- preserving cholelithotomy by laparoscopy and cholangioscopy from March 2012 to June 2013 were enrolled as subjects. Results After surgery,all patients recovered without complications. One patient had relapse of cholecystolithiasis at six months after surgery. One patient had gallbladder atrophy at one year after surgery. Conclusion Gallbladder- preserving cholelithotomy by laparoscopy and cholangioscopy is a feasible and safe therapy for cholecystolithiasis. The therapy achieves satisfactory short- term outcomes. However,the long- term efficacy of this therapy needs further investigation.
- cholecystolithiasis /
- laparoscopy /
- digestive system surgical procedures

HTML全文

参考文献(13)

[1]SHI WJ.A comparative study of cholecystectomy and gallbladderpreserving cholecystolithotomy[J].J Hepatopancreatobiliary Surg,2010,22(5):360.(in Chinese)施维锦.“切胆”与“保胆”之争的我见[J].肝胆胰外科杂志,2010,22(5):360.

[2]ZHANG BS,LIU JS.Endoscope-assisted removal of cholecystolithiasis by gallbladder reservation:report of 1520 cases[J/CD].Chin Joper Proc Gen Surg:Electronic Version,2009,2(3):410-414.(in Chinese)张宝善,刘京山.内镜微创保胆取石1520例临床分析[J/CD].中华普外科手术学杂志:电子版,2009,2(3):410-414.

[3]LIU AH,HU ZS.Risk factors for recurrence after endoscopic gallbladder-preserving cholecystolithotomy[J].Shandong Med J,2012,52(2):67-68.(in Chinese)刘爱华,胡占升.内镜保胆取石术后结石复发的相关因素分析[J].山东医药,2012,52(2):67-68.

[4]LU QP.Controversy and consensus of reserve or removal gall bladder for chronic cholecystitis and gallstone[J].Chin J Pract Surgy,2015,35(1):49-53.(in Chinese)卢绮萍.慢性胆囊炎胆囊结石行保留及切除胆囊的争议与共识[J].中国实用外科杂志,2015,35(1):49-53.

[5]XU XB,ZHANG HY,ZHANG HL,et al.Experience of laparoscopic cholecystectomy in 65 cases[J].J Clin Surg,2012,20(8):548-550.(in Chinese)徐新宝,张洪义,张慧临,等.腹腔镜保胆取石术65例体会[J].临床外科杂志,2012,20(8):548-550.

[6] CHEN XR.Gallbladder function must be cautious[J].J Clin Surg,2011,19(11):733-734.(in Chinese)陈训如.胆囊有功能切胆需谨慎[J].临床外科杂志,2011,19(11):733-734.

[7]WANG HQ,FU XB.Current development of endoscopic minimally invasive gallbladder-preserving cholecystolithotomy in China[J].Chin JMin Inv Surg,2010,10(9):481-485.(in Chinese)王慧群,傅贤薄.我国内镜微创保胆取石术的发展现状分析[J].中国微创外科杂志,2010,10(9):481-485.

[8]SONG J,WANG DW,FAN WW,et al.Postoperative recurrence of stones in 9 cases of postoperative patients with gallbladder stone[J].J Clin Surg,2015,23(5):394.(in Chinese)宋军,王东文,樊魏巍,等.保胆取石术后结石复发再手术九例[J].临床外科杂志,2015,23(5):394.

[9]LIU YM,WEN HQ.Several problems of gallbladder surgery[J].Chin J Surg,2008,4(10):721-723.(in Chinese)刘衍民,文辉清.目前保留胆囊手术的几个问题[J].中华外科杂志,2008,4(10):721-723.

[10]Technical specifications of endoscopic minimally invasive gallbladder-preserving cholecystolithotomy(polypectomy)published by Endoscopic Physician Branch of Chinese Medical Doctor Association[J].China J Modern Med,2011,21(30):47.(in Chinese)中国医师协会内镜医师分会行业公布内镜下微创保胆手术取石(息肉)技术规范胆囊结石微创保胆治疗规范[J].中国现代医学杂志,2011,21(30):47.

[11]ZHOU J,ZHENG J.One case of gallbladder carcinoma after gallbladder-preserving cholecystolithotomy[J].Chin J Pract Surg,2012,11(1):969.(in Chinese)周军,郑均.保胆取石术后胆囊癌变1例[J].中国实用外科杂志,2012,11(1):969.

[12]WANG Q,YANG P,WANG CG,et al.Stage and grade-based surgical strategy for gallstone disease:the experiences of 441 cases of gallbladder preserving cholecystolithotomy[J].China J Endosc,2014,20(3):225-227.(in Chinese)王青,杨平,王成果,等.胆囊结石分级分期治疗策略-附441例保胆手术经验总结与体会[J].中国内镜杂志,2014,20(3):225-227.

[13]WANG J,WANG HL,LI KW.The managements of gallstone:cholecystectomy or gallstone removal with preserving the gallbladder[J].Chin JPract Surg,2011,31(1):44-45.(in Chinese)王坚,王昊陆,李可为.胆囊结石治疗策略的争论与选择:胆囊切除还是保胆取石[J].中国实用外科杂志,2011,31(1):44-45.

施引文献

资源附件(0)

访问统计