腹腔镜联合胆道镜微创保胆取石术的临床疗效研究

Clinical Efficacy of Stone Combined Choledochoscope Minimally Invasive Laparoscopic Gallbladder Paul

目的探讨腹腔镜联合胆道镜微创保胆取石术临床意义。方法 64例胆囊结石患者随机分为2组,腹腔镜胆囊切除术组(LC组)与腹腔镜联合胆道镜微创保胆取石术组(LRCL组)分别进行手术,分析比较LRCL组与LC组临床疗效。结果 64例胆囊结石患者均顺利完成手术,术后无胆瘘、感染、胆囊结石复发,LRCL组术中出血量、术后饮食恢复时间、腹泻发生率优于LC组(P<0.05)。结论腹腔镜联合胆道镜保胆取石术是治疗胆囊结石的安全微创方法。

Objective To study the joint choledochoscope minimally invasive laparoscopic biliary stone extraction for clinical significance. Methods 64 patients with gallbladder stones were randomly divided into 2 groups, group of laparoscopic cholecystectomy（LC） with joint choledochoscope minimally invasive laparoscopic bile stone extraction for group（LRCL） surgery, respectively, comparing LRCL with LC group clinical curative effect. Results 64 cases of gall bladder calculi patients were successfully completed surgery, postoperative biliary fistula, infection, gall bladder calculi recurrence, intraoperative blood loss, postoperative diet LRCL group recovery time, the incidence of diarrhea is better than that of LC group（P〈0.05）. Conclusion Laparoscopic joint choledochoscope confirmed biliary lithotomy is safe and minimally invasive method for the treatment of gallbladder stones.