腹腔镜联合胆道镜保胆取石术治疗胆囊结石临床分析

Clinical analysis of combined treatment of laparoscopy and choledochoscope for preservation of gallbladder on cholecystolithiasis

目的探讨选择性保胆取石术治疗胆囊结石的可行性。方法对功能良好的胆囊结石患者,在腹腔镜引导下利用胆道镜取石,并对临床资料进行回顾性分析。结果术中4例胆囊炎症重及1例胆囊周围粘连重改行腹腔镜胆囊切除术(LC),余51例均成功行保胆取石术,术后随访1～3年,复发1例,复发率为1.96%。结论腹腔镜联合胆道镜保胆取石术治疗胆囊结石,是一种安全、有效、可行、微创的治疗方法,但应严格把握手术指征。

Objective To discusses the feasibility of selective mini-cholecystolithotomy in treatment of gallstones.Methods To retrospectively analyzes the clinical data of the function good gallstones patients who treatmented by mini-cholecystolithotomy.Results 4 cases treatmented by Laparoscopic cholecystectomy because of the severe cholecystitis,1 case treatmented by laparoscopic cholecystectomy because of the severe adhesion around the gallbladder.51 cases treatmented by mini-cholecystolithotomy.In the follow-up of 1-3 years,1 case of recurrence,and the recurrence rate was 1.96%.Conclusion The mini-cholecystolithotomy is a safe,effective,feasible,minimally invasive treatment method in treatmented gallstones,but should be strictly grasp the surgical indications.