Laennec入路腹腔镜胆囊切除术治疗Mirrizi综合征Ⅱ型

Laparoscopic cholecystectomy via Laennec approach through the cystic plate for gallbladder stone with type Ⅱ Mirizzi syndrome

目的:总结、描述Laennec入路腹腔镜胆囊切除术治疗Mirrizi综合征Ⅱ型,探索该方案的可行性。方法:选取Ⅱ型Mirrizi综合征患者1例,完善术前检查,排除绝对手术禁忌,2022年3月实施腹腔镜胆囊切除术,Laennec入路分离胆囊板,便于肝总管成形,放置T管,治疗Mirrizi综合征Ⅱ型患者。结果:手术时间约100 min,术中出血30 ml,T管引流每日400~700 ml。患者术后第7天出院,无并发症。术后6周复查T管造影未见胆总管结石,肝外胆管无狭窄或扩张,并予拔除。随访12个月,患者无异常。结论:腹腔镜Laennec膜入路治疗Ⅱ型Mirrizi综合征是安全可行的,尚需更多临床病案验证。

Objective:To investigate the safety and feasibility of Laennec approach for laparoscopic cholecystectomy in the treatment of type Ⅱ Mirrizi syndrome.Methods:A patient with type Ⅱ Mirrizi syndrome underwent laparoscopic cholecystectomy.Result:The patient was discharged on postoperative day 7 without complications.The tomogram was performed 6 weeks after surgery to assess the anatomy and exclude stones in the CBD prior to its removal.Conclusions:It is safe and feasible to treat type Ⅱ Mirrizi syndrome with laparoscopic cholecystectomy via Laennec approach,more evidence is needed in large-scale clinical studies.