腹腔镜联合胆道镜三孔法保胆取石术治疗青少年胆囊结石的效果观察

Clinical observation of laparoscopic combined with choledochoscopic minimally invasive gallbladder-preserving cholecystolithotomy in treatment of adolescents with gallstone

目的探讨腹腔镜联合胆道镜三孔法保胆取石术治疗青少年胆囊结石的临床效果。方法采用保胆取石术治疗42例青少年胆囊结石患者,观察术后胆囊结石复发、胆囊功能恢复情况。结果 42例患者中38例顺利完成手术,无重大并发症发生;术后平均随访时间2年,38例顺利完成保胆取石患者均无明显的胆囊炎表现;术后口服牛磺熊去氧胆酸。胆囊壁的厚度逐渐变薄,胆囊的收缩功能逐渐恢复。结论因胆囊切除后对青少年的生长发育具有无法预料的影响,在严格控制手术适应证的情况下,保胆取石术可成为治疗青少年胆囊结石的另一种选择。

Objective To explore the clinical efficacy of laparoscopic combined with choledochoscopic minimally invasive gallbladder-preserving cholecystolithotomy in treatment of adolescents with gallstone. Methods 42 adolescents with gallstone received laparoscopic combined with choledochoscopic minimally invasive cholecystolithotomy. The postoperative recurrence and the recovery of gallbladder function were recorded. Results 38 cases were treated successfully. No severe complications occurred. During the 2-year follow-up, tauroursodeoxycholic acid was administered, and no cholecystitis occurred. The gallbladder wall got gradually thin and its function gradually recovered. Conclusion Cholecystectomy maybe result in some unforeseen effects on the growth in adolescents, so laparoscopic combined with choledochoscopic minimally invasive gallbladder-preserving cholecystolithotomy is an effective treatment option for adolescents with gallstone with proper indications.