【摘要】 目的探讨微创保胆取石术治疗胆囊结石的方法和疗效。方法总结本院95例微创保胆取石术治疗胆囊结石患者的临床资料。结果 95例均成功取尽结石,结石最大直径约3 cm,平均手术时间45 min,出血量5～20 ml,平均住院时间4 d,无出血、胆漏等并发症。术后随访时间3个月～3年,无结石复发病例。结论微创保胆取石术保持了胆道的完整性,保留了胆囊的功能,且手术创伤小、操作简单、安全性高,具有患者痛苦少、恢复快、并发症少、结石复发率低等优点,有较好的应用前景。更多还原

【Abstract】 Objective To discuss the treatment method of cholecystolithiasis by micro-invasive gallbladder-preserving lithotomy and its curative effects.Methods The clinical data of 95 patients with cholecystolithiasis receiving micro-invasive gallbladder-preserving lithotomy in our hospital were summarized.Results All stones in those cases were successfully removed.The maximal diameter of the stone was about 3 cm.The average operative time was 45 min.The blood loss was 5-20 ml.The average hospital stay was 4 d,and no complications of bleeding and bile leakage occurred.The follow-up time was 3 months to 3 years,and there was no recurrence.Conclusion Micro-invasive gallbladder-preserving lithotomy maintains the integrity of the bile duct and also the gallbladder function.It has advantages of less surgical trauma,simple manipulation,high safety,less pain,faster recovery,fewer complications,and low recurrence.更多还原