【摘要】 目的　探讨腹腔镜胆囊切除术 (laparoscopiccholecystectomy ,LC)前消化道检查的必要性。　 方法　对 130例拟行LC ,术前均进行消化道检查 ,并回顾性分析 4例LC中漏诊胃肠道肿瘤的临床资料。　结果　 130例消化道检查中发现胃、十二指肠溃疡 11例 ,食道裂孔疝 1例 ,十二指肠憩室 4例 ,胃癌 4例 ,升结肠癌 3例。之后 10例暂时取消LC ,13例采取开腹手术一起处理合并病变 ,其余 10 7例原手术方案不变。另 4例LC中漏诊胃癌 3例 ,结肠癌 1例。　结论　胃肠道疾病与胆囊疾病并存几率大 ,LC患者术前进行必要的消化道检查 ,非常必要。更多还原

【Abstract】 Objective To study the necessity of alimentary tract examinations before laparoscopic cholecystectomy (LC). Methods Alimentary tract examinations were carried out in 130 cases in preparation for LC. In addition, the clinical records of 4 cases with missed diagnosis of gastrointestinal cancer during LC were also retrospectively analyzed. Results Out of the 130 cases, alimentary tract examinations found 11 cases of gastric and duodenal ulcer, 1 case of paraesophageal hernia, 4 cases of duodenal diverticulum, 4 cases of gastric cancer and 3 cases of colon cancer. Afterwards the surgery was temporarily canceled in 10 cases, and the rest of the 13 cases received open surgery. Missed diagnosis in the 4 cases included 3 cases of gastric cancer and 1 case of colon cancer. Conclusions Gastrointestinal diseases are often concurrent with gallbladder diseases. It is necessary to consummate alimentary tract examinations before LC for determining the indication of the operation and avoiding the misdiagnosis of other diseases.更多还原