微创内镜保胆取石术临床分析

The Clinical Analysis of Cholecystolithiasis by Endoscopic Minimally Invasive Cholecystolithotomy with Gallbladder Preserved

目的探讨微创内镜保胆取石术治疗胆囊结石的临床疗效。方法胆囊结石行微创内镜保胆取石术患者48例为观察对象进行回顾性分析,总结患者的临床资料,并随访保胆术后结石的复发情况。结果 48例患者微创内镜保胆取石术顺利完成;手术时间（32.88±11.75）min,术中出血量（9.06±3.82）ml,肠道功能恢复时间（23.06±5.47）h,术后住院（2.87±1.02）d;术后无近期并发症发生;44例患者随访2年~3.5年,有2例结石复发。结论微创内镜保胆取石术能够取净结石,手术创伤小,操作简单、安全,复发率低,对有良好胆囊功能的病例,有望成为胆囊切除的替代疗法。

Objective To discuss the curative effect of cholecystolithiasis by endoscopic minimally invasive cholecystolithotomy with gallbladder preserved. Methods 48 cases of cholecystolithiasis patients with endoscopic minimally invasive cholecystolithotomy were retrospectively analyzed for the observed object. Summary of the clinical data, and all patients were followed up explore endoscopic minimally invasive cholecystolithotomy after recurrence. Resaults 48 patients with endoscopic minimally invasive cholecystolithotomy propitious completion of the stones were successfully removed;the operative time was（32.88±11.75）min and blood loss for the（9.06±3.82）ml, Intestinal function recovery time（23.06±5.47） h, postoperative hospital stay（2.87±1.02） d. There was no complications occur. 44 patients were followed from 2 years to 3.5years, 2 patients gallstone recurrence. Conclusion It is simple、safe and feasible for endoscopic minimally invasive cholecystolithotomy to remove completely stone and lower postoperative recurrence rate. For the cases of who＇s gallbladder have good functions, endoscopic minimally invasive cholecystolithotomy is expected to become replacement theray for cystectomy.