Minimally invasive endoscopic treatment of biliary stone preserving the old value of cholelithiasis.doc

 PAGE \* MERGEFORMAT 9 Minimally invasive endoscopic treatment of biliary stone preserving the old value of cholelithiasis [Keywords:] minimally invasive surgical procedures cholelithiasis elderly choledochoscope Surgical treatment of gallstones in 100 years has been using this surgical cholecystectomy. But lack of gall bladder and digestive function caused by iatrogenic surgical injury to the biliary system caused a lot of life in patients suffering. In recent years as science technology development, continuously updated medical equipment, began to diversify the treatment of gallbladder stones, gallbladder stones also re-insurance accepted. our hospital with minimally invasive endoscopic surgery gall stone protection in 242 patients successfully treated elderly patients with gallbladder stones, the report is as follows. 1 Materials and Methods 1.1 General information on our hospital in March 2000 on December -2006 Minimally invasive surgery laparoscopic gall stone successfully treated protect elderly patients with gallbladder stones in 242 patients, male 97 cases, 145 cases of female, male to female ratio was 1:1.5, the maximum age to which 84-year-old male and female maximum age to 82 years old. preoperative use of B-and (or CT examination, to be confirmed. single stones in 47 cases (19.4%, 2 to 3 stones in 74 cases (30.6% multiple stones in 121 cases (50.0%. stones greatest diameter of 3.6 cm, up by 117. About 65% of patients were cholesterol stones, 20% of the bile pigment stones, 15% were mixed stones, of which 4 patients were no obvious symptoms of gallbladder stones, 1 male and 3 females, 26 patients with concomitant bile duct stones, 1 week before surgery underwent endoscopic application of duodenoscopy retrograde cholangiopancreatography endoscopic sphincterotomy + stone extraction, 37 patients because of the stomach discomfort in the digestive medicine treatment, 29 patients precordial discomfort due to repeated visits to the Department of