| 腹腔镜手术治疗胆囊管结石62例临床研究 |
| 投稿时间：2014-09-01 修订日期：2014-09-03 点此下载全文 |
| 引用本文：桑畅野,蔡振.腹腔镜手术治疗胆囊管结石62例临床研究[J].医学研究杂志,2015,44(3):149-152 |
| DOI：
10.3969/j.issn.1673-548X.2015.03.043 |
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| 中文摘要:目的 总结腹腔镜手术治疗胆囊管结石的经验。方法 对2007年1月~2013年12月笔者医院普外科诊治62例胆囊管结石行腹腔镜胆囊切除术(LC)的临床资料进行回顾性分析。结果 经超声、CT或磁共振检查, 术前诊断胆囊管结石28例, 术中探查诊断胆囊管结石34例。58例顺利完成LC, 4例中转开腹手术。未发生胆管损伤、出血、胆漏或者胆总管结石等并发症。结论 术前影像学检查对胆囊管结石的诊断有其局限性, 术中需注意探查胆囊管有无结石。术中应该综合考虑各种因素, 选择合理的处理方式。腹腔镜处理胆囊管结石是安全可行的方法。 |
| 中文关键词:胆囊管结石 腹腔镜胆囊切除术 |
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| Laparoscopic Cholecystectomy in the Treatment of Cystic Duct Stones:Analysis of 62 Cases |
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| Abstract:Objective To summarize the techniques and skills in the treatment of cystic duct stones. Methods We retrospectively analyzed the clinical data of 62 cases of cystic duct stoneswho received laparoscopic cholecystectomy (LC) from January 2006 to December 2013 in our hospital. Results Twenty eight cases were given preoperative diagnosis by ultrasound, CT or MRI.For the left thirty-four cases, stones were found by exploration in operation.Fifty-eight cases underwent LC successfully and four got conversion to open surgery.All cases were recovered completely and discharged without bile duce injury, hemorrhage, bile leakage and common bile duct stones. Conclusion There is limitation of preoperative imaging examination on the diagnosis of cholecystic duct stones.Attention should be paid to exploration of cystic duct stonesintraoperatively.Various factors should be taken into account during the operation in order to select a flexible application of LC skills. LC is a feasible and safe optional therapy for cystic duct stones. |
| keywords:Cystic duct stones Laparoscopic cholecystectomy |
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