【摘要】 目的探讨Mirizzi综合征的腹腔镜治疗方法。方法回顾性分析38例Mirizzi综合征的临床资料。结果30例采用腹腔镜手术治疗,手术包括胆囊大部切除术6例、胆囊切除18例,胆囊切除加胆总管探查、T管引流术6例,另8例中转开腹行胆肠内引流术。30例腹腔镜手术中,28例获随诊,随诊时间3~72个月,28例病人皆获痊愈。结论在熟练掌握腹腔镜技术的前提下腹腔镜治疗Mirizzi综合征的Ⅰ型和Ⅱ型是安全可行的方法。更多还原

【Abstract】 objective: To discuss laparoscopic treatment of Mirizzi syndrome. Methods: Thirty-eight cases with Mirizzi syndrome were analyzed. Results: Thirty cases underwent laparoscopic cholecystectomies, including partial cholecystectomies in 6 cases, cholecystectomies in 18 cases. Cholecystectomies plus common bile duct exploration with T tube drainage in 6 cases. The other 8 cases were converted because of unclear anatomy in the Calot’s triangle because of dense adhesions. Of the 30 laparoscopic cases, 28 cases were followed up for 3 to 72 months, all the 28 laparoscopic cases were in excellent. Conclusions: Laparoscopic management of Mirizzi syndrome type Ⅰ and type Ⅱ is feasible and safe when the laparoscopic can be used skillfully.更多还原