中国内镜杂志2012，Vol.18Issue(3)：269-272,4.
腹腔镜保胆取石治疗小儿胆囊结石的初步报告
Laparoscopic removal of calculi with preservation gallbladder (a preliminary report)
陈卫兵 1李炳 1刘树立 2王寿青 1李旭 2李龙 2王文雅2
作者信息
- 1. 扬州大学附属淮安市妇女儿童医院,江苏淮安223002
- 2. 首都儿科研究所,北京100020
- 折叠
摘要
Abstract
[ Objective ] To explore the value of minimally invasive surgery for removal of calculus and preservation of gallbladder with laparascope in children. [Methods] 12 patients with calculus were arranged for the operation, 7 boya and 5 girls, the mean age was (57±36.8) m (ranged from 13 months to 11 years). Two ports were inserted for instruments of size 5 mm. The additional ports were inserted at subcostal region at the right midclavieular line (5 mm). Under laparoscopic guidance, the gall bladder was exteriorized through the right subcostal port site and cathetered for rhnlangingraghy. Then, a 5～8 mm incision was created at the fundus of gallbladder. A oystoscope with loop was insert into the gallbladder through the incision. Calculi were removed with the cystoBnope. [Results] The intraoperative chotangiogram showed the dilated common bile duct and the cystic duct is located in the right hepatic duct in 1 case of 3 years old , Roux-Y hepaticojejunostcmy was performed by open surgery. The gall stones were removed successfully in other 11 cases, the operation time was 30-70 minutes (mean 51 minutes). Feeding started the next day. The patients were discharged from hospital between postoperative day 3 and 7. The 5 patients were followed up for 3-30 monthes, no severe complications were noted, B ultrasonagraphy showed no gall stone recurrent after operation. [Conclusions] Clinical application of laparocope for removing calculi and conserving gallbladder in children is minimally invasive and produces good outcomes , and it is worth to be introduced.关键词
腹腔镜手术/胆囊结石/保胆取石/小儿Key words
lapamscopic surgical procedures/ cholecystolithiasis/ removing calculi and conserving gallbladder/ children分类
医药卫生引用本文复制引用
陈卫兵,李炳,刘树立,王寿青,李旭,李龙,王文雅..腹腔镜保胆取石治疗小儿胆囊结石的初步报告[J].中国内镜杂志,2012,18(3):269-272,4.
