瓷样胆囊的腹腔镜手术治疗

Laparoscopic cholecystecomy on porcelain gallbladder

目的探讨瓷样胆囊腹腔镜切除术治疗的诊断及方法。方法对1980年1月至2005年1月瓷样胆囊患者28例资料进行回顾分析,重点分析经腹腔镜胆囊切除术治疗的17例瓷样胆囊。结果28例瓷样胆囊占同期胆囊切除术患者的0·44%(28/6328),B超诊断胆囊壁钙化率92·86%,17例经腹腔镜治疗的瓷样胆囊患者均痊愈出院,2例合并有胆囊癌的患者均没有发现切口种植转移。结论瓷样胆囊有其特殊的B超影像,手术方式的改进以及技巧的熟练,是瓷样胆囊腹腔镜手术治疗成功的关键。

Objective To explore the method and points for attention in laparoscopic cholecystectomy（LC） of porcelain gallbladder. Methods Twenty-eight cases of porcelain gallbladder, especially 17 LC cases, from January 1980 to January 2005 were analyzed retrospectively. Results Of 28 cases （0.44%） of porcelain gallbladder in 6328 cholecystectomy patients, calcification of gallbladder occurred in 92. 86% patients diagnosed by B uhrasonography 17 LC patients were cured. Two cases with gallbladder carcinoma no implantion or metastases happened. Conclusion B uhrasonography before operation and improving of the operative mode and skill in LC are the keys to get the successful results.