双镜联合保胆取石胆囊减容术的应用体会
【摘 要】目的:双镜联合保胆取石胆囊减容术的应用。方法:此次研究的对象是选择2017年1月至2018年8月我院37例适合保胆取石的患者,将其临床资料进行回顾性分析,其中男性患者20例,女性患者17例。常规腹腔镜三孔法将胆囊底自胆囊床游离,切除胆囊底部约占胆囊总体积三分之一,然后取石,胆道镜检查确认取石干净,胆囊管通畅,用3-0倒刺线双层缝合胆囊底切口。结果:患者术后恢復良好,平均术后三日康复出院。无一例胆瘘等并发症发生。术后3-6月回访行彩超检查,残余胆囊的功能良好,收缩正常,无胆囊结石及胆囊炎的复发。总结:切除部分胆囊,胆囊减容术,改变了胆内压力,减少了胆囊内胆汁的存留时间,从而降低结石的成石机率,降低了结石复发率。【关键词】双镜联合;保胆取石;胆囊减容术
Abstract:Objective To evaluate the application of cholecystectomy with double lens combined with gallbladder preserving cholecystectomy.Methods: From January 2017 to August 2018,37 patients who were suitable for gallbladder-preserving stone removal were selected and their clinical data were analyzed retrospectively ......
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