腹腔镜辅助胆道镜保胆取石55例临床分析

目的 探讨腹腔镜辅助胆道镜保胆取石术治疗胆囊结石的可行性及应用价值.方法 回顾性分析武警北京总队医院2009年6月～2012年11月55例胆囊结石患者行腹腔镜辅助胆道镜保胆取石术治疗的临床资料..结果 本组55例患者,3例患者因术中探查发现胆囊炎较重改行腹腔镜胆囊切除术,余52例均成功完成腹腔镜辅助胆道镜保胆取石术.手术时间60～135 min,平均75 min.无出血、胆瘘、继发性胆总管结石、急性胰腺炎等手术相关并发症.随访3～30个月,未见结石复发.结论 腹腔镜辅助胆道镜保胆取石术保留了胆囊功能,手术安全、微创、可行.

Clinical analysis of laparoscopic-assisted gallbladder-preserving cholelitho- tomy for 55 cases

Objective To evaluate the feasibility and clinical value of laparoseopic-assisted gallbladder-preserving cholelithotomy. Methods The clinical data of 55 cases with laparoscopic-assisted gallbladder-preserving cholelithotomy treatment in Beijing Armed Police Corps Hospital from June 2009 to November 2012 were retrospectively analyzed. Results Severe cholecystitis was found in 3 patients and treated by laparoscopic choleeystectomy. 52 cases were suc- cessfully performed laparoscopic-assisted gallbladder-preserving cholelithotomy. The operation trine was 60-135 min, average of 75 rain. There was no postoperative complication, such as hemorrhage, biliary fistula, secondary choledo- cholithiasis or acute pancreatitis. Patients were followed up for 3-30 months, and no recurrence of stones was found. Conclusion Laparoscopic-assisted gallbladder-preserving cholelithotomy reserves the function of the gallbladder, and it is safe, feasible and minimally invasive for cholecystolithiasis.