摘要
目的:探讨腹腔镜下胆道镜保胆取石治疗胆囊结石的可行性及临床疗效。方法:选取单纯胆囊结石的患者60例,经腹腔镜下切开胆囊底部,经胆道镜取石,评价手术效果。结果:所有手术均获得成功,平均手术时间为(70±20)min,平均术中出血量为(15±5)ml,平均术后排气时间为(1.2±0.5)d,平均术后住院时间为(5±1)d,术中无胆管损伤,术后随访12个月,无严重并发症发生。患者的胆囊收缩功能平均为25%～40%。结论:微创行保胆取石治疗单纯胆囊结石,安全可行、具有较好的临床效果。
Objective： To investigate the clinical effect and feasibility of cholecystolithotomy with gallbladder preservation by laparoscope on simple cholecystolithiasis. Methods： 60 cases of patients with simple cholecystolithiasis were selected and bottom of blastula were cutdown with laparoscope, stone were taken out with choledochoscope, effect of operations were evaluated. Results： All operations succeed, time of operations was （70 ±20） min, volume of hemorrhage was （15 ±5） ml, time of break wind after operations was （1.2±0.5） d, time in hospital was （5±1） d, injury of duct did not happen, all patients were followed up for 12 month after operations, there were not severe complication after operations, systolic function of gallbladder was 25%~40%. Conclusion： Cholecystolithotomy with gallbladder preservation on simple cholecystolithiasis are safe and have satisfactory clinical curative effect.
出处
《中国当代医药》
2011年第33期161-162,共2页
China Modern Medicine
关键词
保胆取石术
腹腔镜
胆道镜
胆囊结石
Cholecystolithotomy with gallbladder preservation
Laparoscope
Choledochoscope
Cholecystolithiasis
