腹腔镜胆囊部分切除术治疗先天性隔膜胆囊合并结石

Laparoscopic partial cholecystectomy used in the treatment of congenital septate cholecyst with gallstone

  • 摘要: 目的: 探讨腹腔镜胆囊部分切除术治疗先天性隔膜胆囊合并结石的可行性、手术方法和效果。方法: 对7例先天性胆囊畸形———隔膜胆囊合并胆囊结石的患者施行腹腔镜胆囊部分切除术。全麻,四孔入路,术中在胆囊底部切开远侧隔腔,取出结石,切除远侧隔腔多余囊壁,破坏黏膜,缝合残缘。结果: 7例患者术中经过顺利,术后恢复良好,无并发症出现。术后随访1~5年,胆囊无再发结石,脂肪餐试验示收缩功能良好。结论: 腹腔镜胆囊部分切除术对治疗先天性隔膜胆囊合并结石方法可靠,效果良好。

     

    Abstract: Objective: To investigate the possibility, operation procedures and the outcome of laparoscopic partial cholecystectomy( LPC ) in the treatment of congenital septate cholecyst with gallstone. Methods: 7 patients diagnosed congenital septate cholecyst with gallstone were performed laparoscopic partial cholecystectomy. general anesthesia were used. The bottom of the bladders (far chamber ) were opened and the stones were gotten out. The wall of the chamber was dissected after the mucosa was destroyed and then the remained brim was closed. Results: The 7 patients recovered well and the gallstones were not reappeared within 1~5 years. Conclusion: It is reliable and with well outcome that the laparoscopic partial cholecystectomy can be used in the treatment of congenital septate cholecyst with gallstone.

     

/

返回文章
返回