摘要
目的探讨同时经腹腔镜手术治疗肥胖症和胆囊结石的技巧、体会。方法我科从2006年10月至2009年11月期间行腹腔镜可调节胃束带减容术(laparoscopic adjustable gastric banding,LAGB)治疗178例单纯肥胖患者,其中18例合并胆囊结石,同时行腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC),对其临床资料进行回顾性分析。结果 18例肥胖症伴胆囊结石患者同时行腹腔镜手术治疗,全部成功,手术时间为(126±24)min,术中出血量为(50±16)ml;3例术后出现轻度恶心、呕吐,2例腹部穿刺切口轻度脂肪液化,1例腹腔少量积液,均经对症处理痊愈,无腹腔感染等严重并发症发生;术后1、3、6个月来院调整胃绑带松紧度,随访减重效果明显,胆囊结石引起的腹部症状消失。结论 LAGB手术创伤小且减重效果好;对合并胆囊结石者,通过调整LAGB腹壁戳孔位置可同时完成LC手术,无需增加新的腹部戳孔,创伤减少,且不影响LAGB手术效果,可达到同时治疗两种疾病的目的 。
Objective To investigate the operating skills for treatment of morbidly obese patients with gallstone by using laparoscopic technique meanwhile.Methods From Oct.2006 to Nov.2009,178 morbidly obese patients undergoing laparoscopic adjustable gastric banding（LAGB）,in which 18 cases combined with gallstone underwent laparoscopic cholecystectomy（LC）meanwhile.Results All of 18 morbidly obese patients with gallstone underwent LAGB and LC successfully,the operating time was（126±24）min and bleeding volume was（50±16）ml.No serious infectious complications occurred,but 3 cases with low-grade nausea and vomiting,2 cases with adipose tissue liquefaction in incision,and one case with few seroperitoneun,all were cured conservatively.Conclusion Morbidly obese patients with gallstone undergoing LAGB and LC at the same time by changing site of incision is a safe and effective procedure and a feasible technique.
出处
《中国普外基础与临床杂志》
CAS
2010年第6期606-608,共3页
Chinese Journal of Bases and Clinics In General Surgery
