腹腔镜外科杂志2012，Vol.17Issue(8)：573-576,4.
完全腹腔镜保胆取石术65例临床分析
Clinical analysis of 65 cases of total laparoscopic gallbladder-preserving cholelithotomy
梅建民 1于聪慧 1余昌中 1聂洪峰 1孙泊洋 1王剑飞1
作者信息
摘要
Abstract
Objective-.To evaluate operative method and treatment effect of total laparoscopic gallbladder-preserving cholelitbot-omy. Methods:From Dec. 2009 to Dec. 2011,65 patients with cholecystolithiasis were recruited for potential total laparoscopic gallbladder-preserving cholelithotomy. Clinical data of these patients were retrospectively analyzed. Results: Total laparoscopic gallbladder-preserving cholelithotomy was performed successfully in 63 patients. Two patients were treated with conventional laparoscopic cholecys-tectomy. 35 patients underwent 3-port operation, and 4-port procedure was applied in 28 cases. Ampulla of gallbladder was dissected for removal of calculi in 5 cases. Mean operation time was 119.5 min (range,60-210 min) ,and mean intraoperative blood loss was 10 ml ( range,5-15 ml) . There were no significant postoperative complications,such as hemorrhage,bile leakage,acute cholecystitis,secondary choledocholith or pancreatitis. Mean postoperative hospital stay was 5 d (range,4-7 d). Postoperative ultrasound examination showed that gallstones were removed completely in 61 patients (96.8% ). Two patients (3. 2% ) had residual small calculi in the gallbladder wall. No recurrence of gallstone was identified during follow-up (6-30 months). All gallbladders had good contractile function. No obvious digestive tract symptoms were observed. 6 patients (9. 5% ) were followed up for above 2 years,and no recurrence of calculi was found. Conclusions:Total laparoscopic gallbladder-preserving cholelithotomy is safe,feasible and associated with good short-term results under strict indications. This procedure makes full use of advantages of laparoscopy and choledochoscopy. The satisfactory therapeutic effect is guaranteed by standard manipulation and positive prevention of calculi recurrence after operation.关键词
胆囊结石病/保胆取石术/腹腔镜检查/纤维胆道镜检查/病例报告Key words
Cholecystolithiasis/ Gallbladder-preserving cholelithotomy/ Laparoscopy/ Choledochofiberscopy/ Case reports分类
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梅建民,于聪慧,余昌中,聂洪峰,孙泊洋,王剑飞..完全腹腔镜保胆取石术65例临床分析[J].腹腔镜外科杂志,2012,17(8):573-576,4.
