微创医学

目的探讨三镜联合"保胆取石"治疗胆石病的可行性。方法对该院2009年1月至2011年6月行三镜联合"保胆取石术"治疗胆石病20例患者的临床资料进行回顾性分析。结果 20例患者行三镜联合"保胆取石"手术过程顺利,术后恢复良好,术后随访至今,术后随访6个月至2年6个月,其中有2例胆囊炎发作,所有病例均无结石复发,消化功能、体力等方面均正常。结论三镜联合"保胆取石术"治疗胆石病对部分可选择性胆石病患者在手术操作技术上是可行的,但其远期疗效方面尚有待于作大宗病例的随访及综合疗效评价。

Objective To explore the feasibility of the method of gallbladder-preserved treatment of biliary stones with tri-scopy，combined duodenoscope，laparascope，and choledochoscope． Methods The clinical data of 20 cases with choledocholithiasis treated by combined techniques of duodenectomy，laparoscopy and choledochoscopy from January 2009 to June 2011 were analyzed retrospectively． Results All 20 patients were treated successfully by this method and recovered well after operations． All patients received follow-up with a period of 6 months to 30 months． No patient had recurrent stones． They were of eupepsia with good physical status． Two patients had cholecystitis during the period of follow-up． Conclusion The method of gallbladder-preserved treatment by combined duodenoscopy，laparoscopy，and choledochoscopy was feasible and effective for selected patients with gallbladder stones and choledocholithiasis． However，more large samples clinical trials are needed to establish its long-term effect．

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