内镜微创保胆取石术的临床体会(附56例报告)

目的:探讨内镜微创保胆取石术治疗胆囊结石的临床疗效。方法:回顾分析为56例患者行内镜微创保胆取石术的临床资料。患者取仰卧位,气管插管全麻,脐上做1 cm切口,建立气腹,行两孔或3孔法腹腔外、腹腔内保胆取石术。结果:54例手术获得成功,2例中转腹腔镜胆囊切除术。术后2个月复查B超,提示胆囊功能良好,术后13个月1例复发。结论:内镜微创保胆取石术安全、有效,手术成功率较高,操作简便,但应严格把握手术适应证与禁忌证。

The clinical experience of endoscopic minimally invasive gallbladder-sparing cholelithotomy: with a report of 56 cases

Objective: To discuss the clinical effect of endoscopic minimally invasive gallbladder-sparing cholelithotomy for cholecystolithiasis.Methods: The clinical data of 56 patients who suffered from cholecystolithiasis and underwent endoscopic minimally invasive gallbladder-sparing cholelithotomy were retrospectively analyzed.Patients with cholecystolithiasis accepted trachea cannula and general anesthesia in supine position.Pneumoperitoneum was set up through 1 cm incision above the umbilicus.Two or three-port method was used to finish cholecystolithotomy out of the peritoneal cavity or in the peritoneal cavity.Results: Operations of 54 patients were successful.Laparoscopic cholecystectomy was converted to in 2 cases.The function of gallbladder was favorable which was evaluated by type-B ultrasonic examinations 2 months after surgery.Recurrence of calculi occurred in one patient 13 months after the surgery.Conclusions: Endoscopic minimally invasive gallbladder-sparing cholelithotomy for cholecystolithiasis is safe,effective and easy,which has a high rate of success,but the indications and contraindications should be strictly mastered.