摘要
目的：探讨腹腔镜联合胆道镜保胆取石/息肉术的临床疗效及安全性。方法：回顾分析2011年3月—2012年9月采用腹腔镜联合胆道镜成功行保胆取石/息肉术的376例患者的临床资料。结果：手术平均时间（90±12）min,平均住院时间（5±1）d。手术均治愈顺利出院,无胆漏、胆囊及胆管出血、腹腔感染、胆石及息肉残留等并发症的发生。术后随访6~14个月,结石复发3例,复发率1.0%。结论：腹腔镜联合胆道镜保胆取石术应严格掌握适应证。双镜联合取石安全、可行、有效。
Objective：To explore the clinical efficacy and safety of mini-invasive preservation of gallbladder and removal of calculi/polyp by laparoscope combined with choledochoscope.Methods：The clinical data of 376 patients who underwent preservation of gallbladder and removal of calculi/polyp by laparoscope combined with choledochoscope from March 2011 to September 2012 were retrospectively analyzed.Results：The mean operative time was（90±12）min,and the mean hospital stay was（5± 1）d.All patients were cured and discharged.No complications such as bile leakage,gallbladder or bile duct hemorrhage,abdominal infection,residual calculi or polyps occurred.During the follow-up of 6 to 14 months,the recurrence of calculi occurred in3 cases and the recurrence rate was 1.0%.Conclusions：It is safe,feasible,and effective to manage gallbladder calculi by mini-invasive gallbladder preservation surgery with combination of laparoscope and choledochoscope.However,the indications should be strictly selected.
出处
《中国临床医学》
2013年第4期505-506,共2页
Chinese Journal of Clinical Medicine
关键词
腹腔镜
胆道镜
胆囊结石
息肉
保胆手术
微创
Laparoscope
Choledochoscope
Cholecystolithiasis/polyp
Gallbladder preservation surgery
Mini-invasive
