腹腔镜胆囊切除术治疗胆囊管结石的临床效果分析(1)
[摘要] 目的 探析采取腹腔鏡胆囊切除术治疗胆囊管结石的临床效果。方法 方便选取该院在2016年1月—2019年2月期间收治的62例胆囊管结石患者，对其临床资料进行回顾性分析，均采取腹腔镜胆囊切除术进行治疗，术中对胆囊管结石进行处理，采取推挤发和切开法进行，对62例患者的手术治疗效果，手术时间、术中出血量、并发症情况等进行分析。 结果 62例患者，术前经过超声检查及MRCP(磁共振胰胆管造影)检查得到明确诊断为胆囊管结石的患者具有10例，术中腹腔镜探查发现的患者为52例，所有患者均顺利完全手术，无中转开腹者，腹腔镜手术成功率100%;手术时间30～120 min，平均(75.2±10.5)min，术中出血量10～170 mL，平均出血量(90.4±6.8)mL，术后住院时间2～7 d，平均(4.6±1.1)d，术后引流量50～120 mL，平均(85.3±5.8)mL。术后没有胆管损伤、胆漏的情况发生，所有患者均康复出院。通过对患者进行随访，未发现胆囊管结石残留、胆管狭窄等并发症。结论 术前超声检查及MRCP检查只能对部分患者做出诊断，对于术中探查发现的胆囊管结石，应灵活运用腹腔镜的处理技巧，是手术成功的关键，对胆囊管结石患者采取腹腔镜胆囊切除术是安全可行的。
, 百拇医药
[关键词] 腹腔镜;胆囊切除术;胆囊管结石;处理技巧;临床效果
[中图分类号] R657 [文献标识码] A [文章编号] 1674-0742(2019)11(b)-0041-03
[Abstract] Objective To analyze the clinical effect of laparoscopic cholecystectomy for cystic duct stones. Methods convenient select a total of 62 patients with cystic duct stones admitted to the hospital from January 2016 to February 2019 were retrospectively analyzed. All patients underwent laparoscopic cholecystectomy. The cystic duct stones were treated during operation. The push and cut methods were used to analyze the surgical treatment effect， operation time， intraoperative blood loss， and complications of 62 patients. Results Of the 62 patients， 10 patients had a clear diagnosis of cystic duct stones after ultrasound examination and MRCP (magnetic resonance cholangiopancreatography). 52 patients were found by intraoperative laparoscopic exploration. All patients were successfully completed the surgery， no conversion to open surgery， laparoscopic surgery success rate of 100%; operation time 30～120 min， average (75.2±10.5) min， intraoperative blood loss 10～170 mL， mean bleeding volume (90.4 ± 6.8) mL， postoperative hospital stay was 2～7 d， with an average of (4.6±1.1)d. The postoperative drainage volume was 50-120 mL， with an average of (85.3±5.8) mL. No bile duct injury or bile leakage occurred after operation， and all patients recovered and were discharged. By following the patient， no complications such as residual cystic duct stones and bile duct stricture were found. Conclusion Preoperative ultrasound examination and MRCP examination can only make diagnosis for some patients. For the cholecystolithiasis detected in the intraoperative exploration， flexible application of laparoscopic treatment skills is the key to the success of the operation. Laparoscopic cholecystectomy for patients with cholecystolithiasis is safe and feasible., 百拇医药(胡大勇)
, 百拇医药
[关键词] 腹腔镜;胆囊切除术;胆囊管结石;处理技巧;临床效果
[中图分类号] R657 [文献标识码] A [文章编号] 1674-0742(2019)11(b)-0041-03
[Abstract] Objective To analyze the clinical effect of laparoscopic cholecystectomy for cystic duct stones. Methods convenient select a total of 62 patients with cystic duct stones admitted to the hospital from January 2016 to February 2019 were retrospectively analyzed. All patients underwent laparoscopic cholecystectomy. The cystic duct stones were treated during operation. The push and cut methods were used to analyze the surgical treatment effect， operation time， intraoperative blood loss， and complications of 62 patients. Results Of the 62 patients， 10 patients had a clear diagnosis of cystic duct stones after ultrasound examination and MRCP (magnetic resonance cholangiopancreatography). 52 patients were found by intraoperative laparoscopic exploration. All patients were successfully completed the surgery， no conversion to open surgery， laparoscopic surgery success rate of 100%; operation time 30～120 min， average (75.2±10.5) min， intraoperative blood loss 10～170 mL， mean bleeding volume (90.4 ± 6.8) mL， postoperative hospital stay was 2～7 d， with an average of (4.6±1.1)d. The postoperative drainage volume was 50-120 mL， with an average of (85.3±5.8) mL. No bile duct injury or bile leakage occurred after operation， and all patients recovered and were discharged. By following the patient， no complications such as residual cystic duct stones and bile duct stricture were found. Conclusion Preoperative ultrasound examination and MRCP examination can only make diagnosis for some patients. For the cholecystolithiasis detected in the intraoperative exploration， flexible application of laparoscopic treatment skills is the key to the success of the operation. Laparoscopic cholecystectomy for patients with cholecystolithiasis is safe and feasible., 百拇医药(胡大勇)