胆囊颈部结石的腹腔镜切除治疗

Experiences for Treating Stones of Gall Bladder Neck in Laparoscopic Cholecystectomy

目的:探讨胆囊颈部结石伴发胆囊炎的腹腔镜切除方法。方法:226例胆囊颈部结石,根据胆囊炎的不同情况,分别采用胆囊顺行切除、逆行切除和顺逆结合切除方法进行治疗。结果:手术均获成功,术后恢复顺利,并发症发生率较低。结论:腹腔镜胆囊切除术中对不同情况的胆囊颈部结石采用不同的处理方法,可以有效避免术中胆管损伤等严重并发症。

Objective To explore the methodology of treating stones at gall bladder neck in laparoscopic cholecystectomy. Methods Treatment of 266 cases of stones at gall bladder neck in laparoseopie choleeystectomy combining excision proximally, distally and both were studied retrosipetively. Results All procedures were laparoscopically completed successfully. All patients were recovered smoothly after treatment without severe complications. Conclusion It will be effective to avoid severe complications such as injury of the bile duct if different corresponding procedures were performed for different conditions of stones at the gall bladder neck in laparoscopic cholecystectomy.