摘要
目的探讨胆囊切除术后残留胆囊管合并结石的临床诊断及治疗,分析其成因,总结降低其发生率的经验。方法回顾分析2000年～2010年收治的13例胆囊切除术后残留胆囊管合并结石的临床表现、术前影像、诊治结果。结果 13例残留胆囊管结石均为术前诊断,并经手术证实。所有患者均成功切除残留胆囊管,去除病灶。除1例术后轻微胆漏和1例肠粘连经保守治疗后恢复外,其余术后恢复良好。随访10个月至2年,术前症状完全消失。结论胆囊切除术后残留胆囊管合并结石诊断并不困难,手术是治疗残留胆囊管合并结石唯一方法。严格精准的手术操作是减少残留胆囊管结石发生的重要因素。
Objective To explore the diagnosis and treatment of residual cholecystic duct stones after laparoscopic cholecystectomy. Methods The clinical data of 13 patiens with residual cholecystic duct stones after laparoscopic cholecystectomy from 2000 to 2010 years were reviewed retrospectively.Result All patients were diagnosed before operation and confirmed during operation. The residual cholecystic duct stones were removed successfully.2 cases of bile leakage and mild intestinal adhesions after operation were recovery by treating with conservative treatment. Patients were followed up from 10 months to 2 years, the preoperative symptoms disappeared completely. Conclusions The diagnosis of residual cholecystic duct stones is not so difficult and surgery is the only treatment.More detailed preoperative imaging examinations and precise surgical skills are necessary to reduce the incidence of residual cholecystic duct stones.
出处
《岭南现代临床外科》
2011年第4期256-258,共3页
Lingnan Modern Clinics in Surgery
基金
广东省自然科学基金
项目编号:10151008901000138
关键词
腹腔镜胆囊切除术
残留结石
胆囊管
手术
Laparoscopic cholecystectomy
Residual stone
Cholecystic duct
Surgery
