中国现代医学杂志2016，Vol.26Issue(22)：112-115,4.DOI:10.3969/j.issn.1005-8982.2016.22.025
腹腔镜胆囊部分切除术保胆治疗慢性非结石性胆囊炎（附21例报告）
Laparoscopic partial cholecystectomy for treatment of chronic non-calculous cholecystitis with cholecyst preservation:a report of 21 cases
梁法生 1兰云霞 1梁杰 1高晓军 1吕文才1
作者信息
- 1. 大连医科大学附属大连市友谊医院 肝胆外科，辽宁 大连 116001
- 折叠
摘要
Abstract
Objective To study the feasibility of applying laparoscopic partial cholecystectomy to treatment of chronic non-calculous cholecystitis. Methods From November 2009 to June 2015, 21 cases with chronic non-calculous cholecystitis, gallbladder deformity and adenomyomatosis were treated by partial cholecystectomy under laparoscope and choledochoscope. All the patients had deformity of gall bladder and evident chronic inflammation at the distal-end of gallbladder. The function of the remain gallbladder was normal:ductus cysticus being unobstructed, the thickness of the gallbladder wall ≤ 3 mm and contractibility of gallbladder test ≥ 30%. The proportion of the gallbladder lesion accounted for≤1/3 in 11 cases (52.4%),≤1/2 in 3 cases (14.1%) and≤2/3 in 7 cases (33.3%). The deformity part was cut off, the remained part was normal under choledochoscope. 4-0 absorbable thread was used to suture the gallbladder with two consecutive layers. Results The operations were performed successfully in all the patients. The operation time was (110 ± 18) min,the exhaust time was (21.4 ± 2.8) h; and the patients weredischarged 7 days after operation. The patients were followed up for 6-66 months. The preoperative clinical symptoms of the patients disappeared. There was no postoperative complication in the cases. The gallbladder had compensatory dilatation with the volume to (56.67 ± 23.2) cm3 which was significantly larger than the preoperative volume [(48.26 ± 21.58) cm3, = -9.38, < 0.05]. The postoperative contractibility of gallbladder was enhanced after operation [(50.19 ± 4.27)%vs (45.67 ± 6.87)%, =-5.22, <0.05]. Conclusions Partial cholecystectomy with combined laparoscopy and choledochoscopy is an effective method in treating chronic non-calculous cholecystitis with the indications, and it has a great significance in protecting gallbladder and its function.关键词
腹腔镜/胆囊部分切除术/保胆/胆囊形态/慢性非结石性胆囊炎Key words
laparoscopy/partial cholecystectomy/preservation of cholecyst/deformity/chronic non-calculous cholecystitis分类
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梁法生,兰云霞,梁杰,高晓军,吕文才..腹腔镜胆囊部分切除术保胆治疗慢性非结石性胆囊炎（附21例报告）[J].中国现代医学杂志,2016,26(22):112-115,4.
