腹腔镜联合胆道镜微创保胆取石术68例报告.PDF

15 2 Vo.l 15, No. 2 2010 2 JOURNAL OF LAPAROSCOPIC SURGERY Feb. 2010 : 1009- 6612( 20 10) 02- 0135- 03 # # 68 ¹ , , , , (, , 200120) = : 探讨联合应用腹腔镜与胆道镜行微创保胆取石术治疗胆囊结石的可行性及临床应用价值: 顾分 析为 68例患者行微创腹腔镜联合胆道镜保胆取石术的临床资料: 手术时间45~ 90m in, 平均 65m in, 术后 3例脐部切口 疼痛使用止痛剂患者手术当天均可下床活动, 次日进流质饮食, 1~ 3d 出院术后无出血胆漏切口感染等并发症发生 门诊随访 1~ 19 个月, 无结石复发: 腹腔镜联合胆道镜微创保胆取石术是一种安全可行的胆囊结石治疗方法, 具有患者 创伤小美容效果好等优点 = 胆结石; 腹腔镜检查; 胆道镜检查 + : R657. 4 2 : A Laparoscope and choledochoscope in combination formin-i invasive removal of gallbladder stones: with a report of 68 cases H UHai, SUO Guang-j un, H UAN G A n-hua, et a.l D ep t. of M ini-invasive Surgery, ShanghaiE astH osp ital Aff iliated to ongj i University, Shanghai200120, China = Abstract Objective:T o investi ate the feasib ility and clin ical application value of m ini-invasive rem ovin allb ladder stones by laparoscope and choledochoscope in com bination. Methods:C lin ical data of 68 allstone patients w ho w ere treated by m in-i invasive removin allb ladder stones usin laparoscope and choledochoscope in comb ination w ere retrospectively analyzed. Results: A ll the pa- tients experienced successful cholecystolithotom y w ithout any perioperative com plications, such as hemorrha e, b ile leaka e or incis ion infection. The operation tmi e was 65m in ( 45-90m in). On ly 3 patien ts asked for paink iller due to intolerable pain in the umb ilicus. Pa- tients could w alk freely on the sur ery day, took liqu id diet on the second day after operation, and dischar ed 1-3d after the procedure. Follow-up w as 1-19 m onths, no stone recurrencew as found. Conclusions: The comb ination of laparoscope w ith