内镜联合微创保胆取石术的研究进展

Research Progress of Endoscope Combine With Minimally Invasive Confirmed Gallbladder Calculus Removed Operation

胆囊结石是常见的外科疾病,治疗方法主要是胆囊切除。但胆囊切除术的并发症较多,包括消化不良、十二指肠液的反流、可能引发结肠癌、损伤胆管、胆囊切除术后综合征以及继发性胆总管结石等。保胆术是胆囊结石治疗术之一,其发展经过了胆囊造瘘取石、PCCL、EMIC等阶段,由于复发率过高临床使用较少。随着近年来医学模式的进步和技术(尤其是内镜技术)的发展,在新式胆道镜下进行保胆取石术的效果较好,逐渐被医学界所接受。

Gallbladder calculus is a common surgical disease, the main treatment is primarily gallbladder excision. But cholecystectomy has lots of complications, including indigestion, doudena juice regurgitation, and has cause colon cancer, injure bile duct, cholecystectomy syndrome after surgery and secondary choledocholithiasis and so on. Gall bladder retain sugrey is one of the way in treatment of gallstone, it development go through the stage of gall bladder fistulization calculus removed, PCCL, EMIC and so on, but it used less for higher recurrence rate. With the development of medical model （especial technology of endoscope）, it has good effect of gall bladder retain sugrey with new choledochoscope, that gradually accepted by the medical profession.