摘要
目的 探讨残余胆囊的病因及诊治方法. 方法 回顾性分析52例有症状、采取手术治疗残余胆囊患者的诊治经过,分析残余胆囊的发病原因,不同治疗方案对残余胆囊的诊治经验.结果 52例患者术前依据超声、CT或MRI等均获明确诊断,且均行手术治疗.其中10例行腹腔镜残余胆囊切除术,32例行开腹残余胆囊切除术,7例行残余胆囊切除加胆道探查术,1例行残余胆囊切除、胆道探查、肝左外叶切除术,1例行残余胆囊切除、胆道探查、胆肠吻合术,1例行残余胆囊癌根治术.患者均恢复良好,术后无明显并发症出现.结论 残余胆囊的诊断并不困难,手术切除却有一定难度,术中超声及胆道镜的应用有较大辅助治疗价值.
Objective To evaluate the diagnosis and treatment of residual gallbladder.Methods The diagnosis of residual gallbladder depends on a history of previous cholecystectomy and postoperative existent symptoms suggesting cholecystitis.In this series the diagnosis was finally established by ultrasonography and laparotomy in 52 cases.Results Ten cases received laparoscopic residual cholecystectomy,32 cases underwent residual cholecystectomy,7 cases did residual cholecystectomy plus common bile duct exploration,1 case was treated with residual cholecystectomy,common bile duct exploration and left lateral lobe hepatectomy,1 case with residual cholecystectomy,common bile duct exploration,cholangioenterostomy,1 case by radical resection of residual gallbladder cancer.Conclusions Residual gallbladder is a secondary disease,diagnosis is not difficult,surgery has certain difficulty,the application of intraoperative ultrasound and choledochoscope has great value.
出处
《中华普通外科杂志》
CSCD
北大核心
2014年第9期697-699,共3页
Chinese Journal of General Surgery
关键词
胆囊切除术
腹腔镜
再手术
残余胆囊
Cholecystectomy,laparoscopic
Reoperation
Residual gallbladder
