腹腔镜联合胆道镜保胆取石的临床应用价值

Clinical application value of mini-invasive surgery of removing gallstones and preserving gallbladder through laparoscope combined with choledochoscope

目的探讨腹腔镜联合胆道镜保胆取石的临床应用价值。方法对172例胆囊结石患者行腹腔镜联合胆道镜保胆取石,术后进行随访观察。结果所有腹腔镜联合胆道镜保胆取石患者均无结石残留,痊愈出院。172例患者随访1～2年,复发率为2.33%(4/172),胆囊壁厚度较术前明显变薄(P<0.05)。结论腹腔镜联合胆道镜保胆取石,可以有效地解决术中胆囊结石残留问题,是安全、易行的微创手术。

Objective To discuss the clinical application value of mini-invasive surgery of removing gallstones and preserving gallbladder through laparoscope combined with choledochoscope.Methods 172 patients with cholecystolithiasis were accepted mini-invasive surgery of removing gallstones and preserving gall bladder through laparoscope and choledochoscope,and postoperative follow up were conducted.Results All patients experienced mini-invasive surgery of removing gallstones and preserving gallbladder through laparoscope and choledochoscope had no residual stones,and discharged after recovery.172 patients were followed up for 1-2 years,and the recurrence rate was 2.33%（4/172）.Thickness of gallbladder wall was significantly thinner than that before operation（P〈0.05）.Conclusion It is a safe and feasible mini-invasive surgery of removing gallstones and preserving gallbladder through laparoscope and choledochoscope which can effectively solve the problem of intraoperative residual gallstones.