首 页   本刊简介  编委会  审稿专家  在线期刊  写作规范  广告合作  联系我们
您现在的位置:首页 => 在线期刊 => 2013年 6期 => 胆道疾病 =>肝内胆管结石的微创治疗
肝内胆管结石的微创治疗
A study of minimally invasive treatment for hepatolithiasis
文章发布日期:2013年05月06日  来源:  作者:崔 龙, 徐 智, 凌晓锋,等  点击次数:2817次  下载次数:649次

调整字体大小:

(此处下载失败可以在在线预览处保存副本或者右键另存为)

【摘要】:目的探讨微创治疗肝内胆管结石的方法、可行性及疗效。方法总结2006年5月至2012年11月采用完全腹腔镜治疗肝内胆管结石15例。手术方式包括腹腔镜单纯肝脏切除、腹腔镜单纯胆道探查取石,或者联合保留Oddi括约肌的皮下通道胆囊或游离空肠肝胆管成形术。结果所有患者均成功完成手术,无围手术期死亡,术后残留结石率26%(4/15)。所有患者均获得随访,随访率100%。平均随访29个月(2~80个月),术后吻合口狭窄1例,未见结石复发。结论认真掌握手术适应证,仔细操作,合理利用胆道镜及皮下通道,可实现肝内胆管结石的微创治疗。
【Abstract】:ObjectiveTo investigate the feasibility and therapeutic effect of minimally invasive treatment for hepatolithiasis. MethodsAn investigation was conducted in 15 patients with hepatolithiasis who underwent total laparoscopic treatment from May 2006 to November 2012. The procedures included simple laparoscopic hepatectomy, simple laparoscopic bile duct exploration, and Oddi sphincter-preserved subcutaneous tunnel and hepatocholangioplasty with the use of gallbladder or free jejunum. ResultsAll cases completed the operation, with no perioperative mortality, and postoperative residual stones were found in 26% of all cases (4/15). The follow-up rate was 100%; the mean follow-up was 29 months (range, 2-80 months). There was one case of postoperative anastomotic stenosis, and no recurrence of hepatolithiasis was seen. ConclusionMinimally invasive treatment for hepatolithiasis can be achieved if the operative indications are fully understood, the procedures are carefully performed, and the choledochoscope and subcutaneous tunnel are properly used.
【关键字】:胆结石;胆管,肝内;腹腔镜;外科手术,微创性
【Key words】:cholelithiasis; bile ducts, intrahepatic; laparoscopes; surgical procedures, minimally invasive
【引证本文】:

地址:长春市东民主大街519号《临床肝胆病杂志》编辑部 邮编:130061 电话:0431-88782542/3542
临床肝胆病杂志 版权所有 Copyright © 2009 - 2013 Lcgdbzz.org. All Rights Reserv 吉ICP备10000617号

吉公网安备 22010402000041号