摘要
目的 探讨联合应用腹腔镜、胆道镜行微创保胆取石术治疗胆囊结石病的适应症、方法以及并发症的处理.方法 回顾分析78例采用腹腔镜联合胆道镜微创保胆取石术的胆囊结石病患者的临床资料.结果 78例成功取净结石,取出最大结石直径约1.5 cm,手术时间45～90 min,住院时间4～8 d,无手术中或术后严重并发症发生,术后随访时间最长4年,胆囊少量泥沙样结石复发3例（3.85%）.结论 腹腔镜、胆道镜联合应用微创保胆取石术用于治疗胆囊结石具有创伤小、安全可靠、并发症少等优点,同时保持了胆道的完整性以及胆囊功能,具有较好的临床应用价值.
Objective To investigate the indications, methods and complications of treating cholecys-tolithiasis by laparoscope and choledochoscope for preservation of cholecyst. Methods Data from 78 chole-cystolithiasis patients who were treated by laparoscope and choledochoscope were retrospectively analysed. Results 78 patients had their cholecyst successfully cleaned. The the largest stone was 2.0cm in diameter, operation time lasted for 45 ～ 90 minutes, and average inhospital stay was 4 ～8days. No serious compli-cations happened either in operation or post operation. In our study only 3 cases （3.85%） had cholecyst stone re-currence in 4- year follow-up. Conclusions It is mini invasive and safe opetation to treat cholecyst stone by laparoscope and choledochoscope for preservation normal function of the cholecyst.
出处
《国际医药卫生导报》
2011年第8期929-931,共3页
International Medicine and Health Guidance News
关键词
胆道镜
腹腔镜
微创治疗
胆囊结石
Choledochoscope
, Laparoscope
, Minimally invasive treatment
Cholecystolithiasis
