腹腔镜联合胆道镜保胆手术的临床研究

Laparoscopic operation combined with choledochoscopic surgery for preservation of cholecyst

目的探讨腹腔镜联合胆道镜保胆手术的临床价值。方法对比分析68例腹腔镜联合胆道镜保胆手术的临床资料和同期开展的68例纤维胆道镜微创保胆手术(MC)的临床资料以及68例腹腔镜胆囊切除术(LC)临床资料。结果3组病例均取得了满意的效果,腹腔镜联合胆道镜保胆手术组较MC组并发症更少,预后更佳(P<0.05)。结论对符合保胆指征得患者行保胆手术效果好、安全可行,值得临床推广。

[ Objective ] To investigate the clinical value of laparoscopic operation combined with choledochoscopic surgery for preservation of eholeeyst （LRCL）. [Methods ] Clinical data of patients receiving laparoseopy combined with choledochoseopy for preservation of choleeyst （LRCL） were compared with those accepting minimally invasive choledochofiberscopy or laparoscopic choleeysteetomy （LC） for preservation of choleeyst （MC）, and every group included 68 cases in the same stage. [Results] The three groups all achieved satisfactory effects. The LRCL group had less complications and better prognosis than MC group （P 〈0.05）. [ Conclusions ] Some patients with choleeystolithiasis and gallbladder polyps have good gallbladder function, the minimally invasive operation for preservation of cholecyst can not only decrease trauma and prevent some potential influences of choleeystectomy, but also satisfy the psychological need and improve the life quality of the Contemporaries. LRCL has a better effect than MC in operations for preservation of cholecyst, it＇s safe and should be popularized in clinic.