【摘要】 目的探讨腹腔镜联合胆道镜行微创保胆取石术治疗胆囊结石病的适应证、手术方法及临床疗效。方法回顾分析56例腹腔镜联合胆道镜微创保胆取石术治疗胆囊结石病患者的临床资料。结果56例病人中,成功行微创保胆取石术54例,2例病人由于慢性炎症较重,中转为腹腔镜胆囊切除术。保胆取石术54例,手术时间30～70min,平均52min,住院时间2～6d,无术中及术后并发症发生,术后随访6～12个月,1例病人复发少量泥沙样结石(1.9%)。结论选择合适病人,联合应用腹腔镜、胆道镜行微创保胆取石术治疗胆囊结石病是可行、有效和安全的。更多还原

【Abstract】 【Objective】To discuss the indications,methods and clinical effects of treating cholecystolithiasis by laparoscope and choledochoscope for preservation of gallbladder.【Methods】The data from 56 patients with cholecystolithiasis who were treated by laparoscope and choledochoscope for preservation of gallbladder were retrospectively analysed.【Results】In 54 patients,cholecystolithiasis had been successfully treated by laparoscope and choledochoscope for preservation of gallbladder.However,laparoscopic cholecystectomy was performed on 2 patients because of severe chronic cholecystitis.The operation time ranged from 30 to 70 minutes,averaging 52 minutes.The hospital stay was 2 to 6 days.No complications happened during or after operation.Only 1 cases(1.9%) recurred with little cholecyst muddy stone in the follow-up of 6 to 12 months.【Conclusions】For suitable patients,a combination of laparoscope and choledochoscope is a feasible,effective and safe operation for the treatment of cholecystolithiasis for preservation of gallbladder and its normal function.更多还原