摘要
目的:探讨腹腔镜保胆取石并胆总管探查一期缝合术的手术指征及应用价值。方法:回顾分析2009年12月至2011年7月为12例患者行腹腔镜保胆取石并胆总管探查一期缝合术的临床资料。结果:12例手术均获成功,术后无明显并发症发生。术前B超检查提示3例胆囊无结石,胆总管继发结石,行腹腔镜胆总管探查一期缝合术;9例胆囊结石合并胆总管结石,行腹腔镜保胆取石、胆总管探查一期缝合术。术后随访1～13个月,均无复发,胆囊收缩功能良好。结论:腹腔镜保胆取石并胆总管探查一期缝合术安全、可行、微创,最大限度地提高了患者的生存质量,但应严格选择病例,把握手术指征,远期疗效尚待大宗病例及长期随访结果证实。
Objective：To evaluate the surgical indications and clinical value of laparoscopic cholecystolithotomy and primary closure of the common bile duct.Methods：The clinical data of 12 patients who underwent laparoscopic cholecystolithotomy and primary closure of the common bile duct from December 2009 to July 2010 were retrospectively analyzed.Results：All the operations were performed successfully,no complications occurred.Laparoscopic common bile duct exploration and primary closure was performed in 3 cases who were confirmed secondary calculi in the common bile duct and non-cholecystolithiasis;cholecystolithotomy and primary closure of common bile duct were performed in 9 cases with gallbladder and common bile duct calculi.During the follow-up of 1-13 mon,no recurrence occurred and the contraction function of the gallbladder was good.Conclusions：To treat non-cholecystolithiasis or gallbladder and common bile duct calculi by laparoscopic cholecystolithotomy and primary closure is safe and feasible,minimally invasive,with the maximum increase of the life quality.However,cases should be selected strictly,and the surgical indications should be mastered.The long-term curative effect should been confirmed by a large series of cases and follow-up.
出处
《腹腔镜外科杂志》
2011年第12期928-930,共3页
Journal of Laparoscopic Surgery
基金
四川省教育厅科研资助项目(编号:09ZC046)
