腹腔镜联合肾镜微创保胆取石(息肉)60例临床分析

Laparoscope combined with nephroscope in the use of minimally invasive concerving-gallbladder cholelithotomy(polypectomy)-An analysis of 60 cases

目的探讨腹腔镜联合肾镜微创保胆取石(息肉)的临床效果。方法回顾性分析近3年来我院采用腹腔镜联合肾镜微创保胆取石(息内)治疗的60例胆囊结石(息肉)的病例资料。结果手术均获成功。术后无出血及胆漏等并发症,术后均随访,最长36个月,最短3个月,中位随访时间18个月,无一例结石(息肉)复发,消化功能良好。结论腹腔镜联合肾镜微创保胆取石(息肉)具有安全、创伤小、近期随访疗效好、住院时间短、并发症少等优点,对胆囊功能良好的患者可采用。

Objective To study the clinical efficacy of Laparoscope combined with nephroscope in the use of minimally invasive concerving-gallbladder cholelithotomy（polypectomy）.Methods From March 2007 to March 2010,the clinical data of 60 cases with cholecystolithiasis used laparoscope combined with nephroscope to perform minimally invasive concerving-gallbladder（polypectomy）were analyzed retrospectively.Results The operations of all cases were performed successfully and no postoperative abdominal bleeding and biliary leakage were found.postoperative follow-up was got in all cases.The follow-up time ranged from 3 to 36 months and median follow-up time was 18 months.No case was recurrence and digestive function was good during follow-up period.Conclusion Laparoscopic combined with nephroscopic minimally invasive conserving-gallbladder cholelithotomy（polypectomy） possesses safe,less trauma,a short hospitalization time,few postoperative complications and a good short-term efficacy.It＇s operation indication is the patiens with good functions of the gallbladder.