腹腔镜保胆取石手术成败因素分析

目的:分析影响腹腔镜保胆取石手术成败的各种因素,并探讨应对这些因素的经验。方法:对我院2010年11月至2014年9月共开展的96例腹腔镜保胆取石手术进行统计,分析影响腹腔镜保胆取石手术成败的各种因素,并总结应对这些因素的经验。结果:所有病例由肝胆外科不同医疗组操作完成。96例腹腔镜保胆取石手术中,82例手术成功(成功率85.4%)。9例中转为腹腔镜胆囊切除术(中转率9.4%),5例出现术后并发症(并发症率5.2%)。结论:多种因素共同决定了腹腔镜保胆取石手术是否能够成功开展。术前充分筛选病例,加强对这些因素的认识,能够确保腹腔镜保胆取石手术的成功。

The study on success or failure factors of laparoscopic cholecystolithotomy with reservation of gallbladder

Objective:To analyze the various factors which affect the success or failure factors for laparoscopic cholecystolithoto-my with reservation of gallbladder,and summarize the experience about how to deal with these factors. Methods:96 cases undergone the laparoscopic cholecystolithotomy with reservation of gallbladder were reviewed in our hospital from Nov. 2010 to Sep. 2014. The various success or failure factors of laparoscopic cholecystolithotomy with reservation of gallbladder were analyzed and the experience about how to deal with these factors was summarized. Results:96 cases were performed by different surgeons. 82 cases were successed(85. 4%) and 9 cases were converted to laparoscopic cholecystectomy(9. 4%)in 96 cases of laparoscopic gall stone surgery. 5 cases had postoper-ative complications(5. 2%). Conclusion:A variety of factors determine whether laparoscopic cholecystolithotomy with reservation of gallbladder is successfully carried out. Adequate preoperative preparation and enhancing the understanding of these factors can ensure the success of laparoscopic cholecystolithotomy with reservation of gallbladder.