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腹腔镜联合胆道镜保胆取石术治疗儿童青少年胆囊结石的效果观察

黄志军, 徐立群, 穆向明, 时坤, 黄卫, 蒋浩海, 刘艳红, 张春晖, 陈海涛

黄志军, 徐立群, 穆向明, 时坤, 黄卫, 蒋浩海, 刘艳红, 张春晖, 陈海涛. 腹腔镜联合胆道镜保胆取石术治疗儿童青少年胆囊结石的效果观察[J]. 实用临床医药杂志, 2020, 24(24): 113-115. DOI: 10.7619/jcmp.202024034
引用本文: 黄志军, 徐立群, 穆向明, 时坤, 黄卫, 蒋浩海, 刘艳红, 张春晖, 陈海涛. 腹腔镜联合胆道镜保胆取石术治疗儿童青少年胆囊结石的效果观察[J]. 实用临床医药杂志, 2020, 24(24): 113-115. DOI: 10.7619/jcmp.202024034
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HUANG Zhijun, XU Liqun, MU Xiangming, SHI Kun, HUANG Wei, JIANG Haohai, LIU Yanhong, ZHANG Chunhui, CHEN Haitao. Effect of laparoscopic and choledochoscopic cholecystolithotomy in treatment of cholecystolithiasis in children and adolescents[J]. Journal of Clinical Medicine in Practice, 2020, 24(24): 113-115. DOI: 10.7619/jcmp.202024034
Citation: HUANG Zhijun, XU Liqun, MU Xiangming, SHI Kun, HUANG Wei, JIANG Haohai, LIU Yanhong, ZHANG Chunhui, CHEN Haitao. Effect of laparoscopic and choledochoscopic cholecystolithotomy in treatment of cholecystolithiasis in children and adolescents[J]. Journal of Clinical Medicine in Practice, 2020, 24(24): 113-115. DOI: 10.7619/jcmp.202024034
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腹腔镜联合胆道镜保胆取石术治疗儿童青少年胆囊结石的效果观察

  • 江苏省盐城市第一人民医院 普外科, 江苏 盐城, 224005

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    徐立群, E-mail: treemore@qq.com

  • 中图分类号: R657.4;R61

Effect of laparoscopic and choledochoscopic cholecystolithotomy in treatment of cholecystolithiasis in children and adolescents

  • Department of General Surgery, The First People's Hospital of Yancheng City in Jiangsu Province, Yancheng, Jiangsu, 224005

摘要

    摘要
  • 摘要: 目的 观察腹腔镜联合胆道镜微创保胆取石术治疗儿童青少年胆囊结石的临床效果。 方法 回顾性分析25例行腹腔镜联合胆道镜直视下保胆取石术治疗的儿童青少年胆囊结石患者的临床资料,观察临床治疗效果。 结果 25例患者均成功施行微创保胆取石术,术后恢复良好,各项生化指标正常,未发生严重并发症; 患者术后胆绞痛症状均明显好转,术后1周内复查B超示无结石残留; 患者住院时间4~7 d, 平均5 d, 切口愈合良好; 术后随访6~12个月,有1例患者于术后1年复发,行腹腔镜下胆囊切除治疗。 结论 腹腔镜联合胆道镜微创保胆取石术操作简单、安全可行,是治疗儿童青少年胆囊结石的有效方法。
    Abstract: Objective To observe clinical effect of laparoscopic and choledochoscopic cholecystolithotomy in the treatment of cholecystolithiasis in children and adolescents. Methods The clinical data of 25 children and adolescents with cholecystolithiasis treated by laparoscopic and choledochoscopic gallbladder-preserving cholecystolithotomy under direct vision was retrospectively analyzed, and the clinical therapeutic effect was observed. Results All the patients, without severe complications, successfully completed minimally invasive gallbladder-preserving cholecystolithotomy, recovered well after operation, and maintained normal biochemical indicators. The postoperative biliarycolic symptoms of the patients were significantly improved, and B-ultrasound re-examination within 1 week after the operation showed no residual stones. The length of stay was 4 to 7 days, with an average of 5 days, and incision was healed well. All patients were followed up for 6 to 12 months, there was one patient with recurrence after 1 year of operation and laparoscopic cholecystectomy was conducted. Conclusion The combination of the laparoscopic and choledochoscopic minimally invasive gallbladder-preserving cholecystolithotomy is a safe and feasible for children and adolescents with cholecystolithiasis treatment.
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出版历程
  • 收稿日期:  2020-11-16
  • 网络出版日期:  2020-12-29

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