腹腔镜外科杂志2011，Vol.16Issue(3)：211-212,2.DOI:10.3969/j.issn.1009-6612.2011.03.021
胆道镜下定向微爆破技术治疗胆囊巨大、嵌顿结石在保胆取石术中的临床应用
Application of choledochoscope guided lithoclasty for huge and incarcerated cholecystolithiasis in laparoscopic gallbladderpreserving cholelithotomy
葛长青 1李全福 1刘建辉 1邵青龙 1郭超 1钟永刚1
作者信息
- 1. 国家卫生部内镜专业技术培训基地,保定市第二医院,河北,保定,071051
- 折叠
摘要
Abstract
Objective :To investigate the safety and feasibility of choledochoscope guided lithoclasty for huge and incarcerated cholecystolithiasis in gallbladder-preserving cholelithotomy. Methods:Ninety-three patients with huge and incarcerated cholecystolithiasis underwent the treatment and clinical data was analyzed retrospectively. Results:All the operations were successfully performed without conversion to cholecystectomy. All patients underwent 2-11 times of lithoclasty, with the average of (3. 67 ±0.52 ). The gallbladder wall of 91 cases was sutured with 4-0 absorbable thread. Acute cholecystitis occurred in 1 case after operation ,which was performed emergent percutaneous transhepatic gallbladder puncture and drainage. 1 case underwent drainage because of gallbladder wall edema,and the drainage tube was removed 6 weeks later,when the gallbladder mucosa was normal under eholedochoscopy. No other postoperative complications occurred such as gallbladder perforation, bile leakage or hemorrhage. Conclusions: Lithoclasty under direct view of choledochoscopc is safe and effective for huge and incarcerated cholecystolithiasis, and it is an ideal treatment for gallbladder-preserving cholelithotomy.关键词
胆囊结石病/胆道外科手术/腹腔镜检查/胆道镜检查Key words
Cholecystolithiasis/ Biliary tract surgical procedures/ Laparoscopy/ Choledochoscopy分类
医药卫生引用本文复制引用
葛长青,李全福,刘建辉,邵青龙,郭超,钟永刚..胆道镜下定向微爆破技术治疗胆囊巨大、嵌顿结石在保胆取石术中的临床应用[J].腹腔镜外科杂志,2011,16(3):211-212,2.
