降低双镜联合保胆取石术后复发率的体会

Experience in reducing recurrence rate after gallbladder-preserving cholelithotomy through laparo-scopic and choledochoscopic procedures

目的：探讨降低双镜联合保胆取石术后结石复发率的有效措施。方法回顾性分析64例行腹腔镜联合胆道镜保胆取石术患者的临床资料。结果手术过程顺利，术后无胆漏等严重并发症发生，随访6～24个月，有2例结石复发，复发率3．12％。结论腹腔镜联合胆道镜保胆取石术是安全有效的，通过术前、术中、术后分别采取相应措施，可有效降低保胆取石术后结石的复发率。

Objective To discuss the effective measures in reducing recurrence rate after gall-bladder-preserving cholelithotomy through laparoscopic and choledochoscopic procedures.Methods The clinical data of 64 patients treated by gallbladder-preserving cholelithotomy through laparoscopic and cho-ledochoscopic procedures were retrospectively analyzed.Results All the operations were successfully per-formed without serious postoperative complications such as bile leakage.The patients were followed up for 6 to 24 months and 2 cases（3.12%）of gallbladder stone recurred.Conclusion Gallbladder-preserving cholelithotomy through laparoscopic and choledochoscopic procedures is safe and effective.Corresponding measures can be adopted to reduce the recurrence rate during the preoperative,intraoperative and postoper-ative periods.