摘要
目的 :评价微创胆囊切开取石术治疗胆囊结石的疗效。方法 :回顾性分析 15 8例行微创胆囊切开取石术的病人 ,并与同期所做开腹胆囊切除术 376例及腹腔镜胆囊切除术 188例进行比较 ,了解三种术式术后并发症情况。结果 :15 8例行微创胆囊切开取石术的患者均痊愈出院 ,随访 1～ 5年 ,结石复发 2 8例 (17.72 % ) ,无症状复发 2 3例 ,有症状复发 5例 ,术后 1、3、5年的分期复发率分别为 1.9% (3/ 15 8)、12 .2 6 % (13/ 10 6 )、17.91% (12 / 6 7)。结果显示 ,微创胆囊切开取石术术后并发症发生率低于行开腹胆囊切除术和腹腔镜胆囊切除术的患者。结论 :微创胆囊切开取石术治疗胆囊结石安全、有效。不应因过分强调结石复发而影响保胆手术的开展。
Objective: To evaluate the effect of mini-cholecystolithotomy for gallstones. Methods: One hundred and fifty-eight patients treated by mini-cholecystolithotomy were retrospectively analyzed, and then compared with 376 patient treated by open cholecystectomy and 188 patients treated by laparoscopic cholecystectomy in postoperative complication. Results: We have succeed in all 158 cases. All cases were followed for 1 to 5 years. Gallstones recurred in 28 patients (17.72%).Twenty-three of 28 cases were asymptomatic, and 5 of 28 cases were symptomatic. The recurrence rates for 1, 3 and 5 years after mini-cholecystolithotomy were 1.9%(3/158), 12.26%( 13/106)and 17.91% (12/67).Mini-cholecystolithotomy is better than open cholecystectomy and laparoscopic cholecystectomy in postoperative complication. Conclusions: Mini-cholecystolithotomy is safe and effective for gallstones. Remaining gallbladder should not be refused for reason of excessive emphasis on gallstone recurrence.
出处
《中国内镜杂志》
CSCD
2002年第12期21-23,共3页
China Journal of Endoscopy
