腹腔镜下经纤维胆道镜保胆取石术临床观察

LAPAROSCOPIC CHOLEDOCHOFIBERSCOPIC CHOLECYSTOLITHOTOMY ADVANTAGE

目的:探讨腹腔镜下经纤维胆道镜保胆取石术临床应用优势。方法:治疗组:回顾性分析2010-06～2011-08间96例胆囊结石患者在我院完成腹腔镜下经纤维胆道镜保胆取石术的临床资料。对照组:回顾性分析2009-05～2010-10间0例腹腔镜胆囊切除术的临床资料。结果:治疗组96例患者术后出血2例,无胆管狭窄、胆囊切除术后综合症、胆囊管残留过长综合症、结肠癌发生。对照组术后出血6例,胆管狭窄3例,胆囊切除术后综合症2例,胆囊管残留过长综合症1例,结肠癌发生率1例。结论:腹腔镜下经纤维胆道镜保胆取石术具有安全性高、创伤小、保留胆囊的功能,术后并发症少等优势。

Objective：To investigate the laparoscopic choledochofiberscopic cholecystolithotomy clinical advantage. Methods： the treatment group： retrospective analysis from 2010 June to 2011 August, 96 cases of gallstone patients in our hospital completed laparo- scopic choledochofiberscopic cholecystolithotomy clinical data. Control group： retrospective analysis from 2009 May to 2010 October, 80 cases of laparoscopic cholecystectomy clinical data. Results ： the treatment group of 96 cases patients with postoperative hemorrhage in 2 cases, no stenosis of bile duct, cholecystectomy, cholecystic duct remnant syndrome after long syndrome, colon cancer. Control postoperative hemorrhage in 6 cases, bile duct stricture in 3 cases, cholecystectomy syndrome 2 cases, long cholecystie duct remnant syndrome 1 cases, colon cancer incidence in 1 cases. Conclusion： laparoscopic choledochofiberscopic Gallbladdersparing operation has high security, small trauma, retained gallbladder function, less postoperative complications and other advantages.