三孔法腹腔镜联合胆道镜保胆取石术的临床价值

王斌，袁志林，陈广瑜，詹建兴，申海军，付振刚

（西安航天总医院肝胆外科，陕西 西安，710100）

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摘要：

目的 观察三孔法腹腔镜联合胆道镜微创保胆取石术的临床应用效果。方法 选择2014 年1 月至2016 年3 月本院收治的 78 例胆囊结石患者，随机分为对照组和观察组，各39 例。观察组行三孔法腹腔镜联合胆道镜保胆取石术，对照组常规行腹 腔镜下胆囊切除术，观察两组术中、术后相关指标，并监测两组术后并发症发生情况。结果 观察组术中出血量、术后排气时 间、术后下床时间和住院时间显著优于对照组，手术时间长于对照组（P<0.05）。观察组术后并发症总发生率（7.69%）显著低 于对照组（25.64%）（P<0.05）。结论 三孔法腹腔镜联合胆道镜保胆取石术临床疗效较好，可明显促进术后患者康复，且并发 症风险较低，有助于改善患者预后。

关键词：胆囊结石；腹腔镜；保胆取石术；胆道镜

中图分类号：R657.4文献标志码：A文章编号：2096-1413(2017)36-0092-02

The clinical application of three hole laparoscopic combined with choledochoscopy in gallbladder preserving lithotomy
WANG Bin, YUAN Zhi-lin, CHEN Guang-yu, ZHAN Jian-xing, SHEN Hai-jun, FU Zhen-gang


(Hepatobiliary Surgery Department, Xi``an Aerospace General Hospital, Xi``an 710100, China)

ABSTRACT: Objective To observe the clinical effect of thr ee hole laparoscopic combined with choledochoscopy in minimally invasive gallbladder preserving lithotomy. Methods Seventy-eight cases of patients with cholecystolithiasis in our hospital from January 2014 to March 2016 were selected, and randomly divided into control group and observation group, with 39 cases in each group. The observation group was treated with gallbladder preserving lithotomy by three hole laparoscopic combined with choledochoscopy, while the control group was given conventional laparoscopic cholecystectomy. The intraoperative and postoperative related indexes of the two groups were observed, and the postoperative complications of the two groups were monitored. Results The amount of blood loss, postoperative exhaust time, postoperative ambulation time and hospitalization time in the observation group were significantly better than those in the control group (P<0.05), the operation time in the observation group was significantly longer than that in the control group (P<0.05). The total incidence of postoperative complications in the observation group (7.69%) was significantly lower than that in the control group (25.64%) (P<0.05). Conclusion The clinical effect of three hole laparoscopic combined with choledochoscopy in gallbladder preservation is significant, it can significantly promote the recovery of patients after surgery, and the risk of complications is low.
KEYWORD: gallbladder stone; laparoscopy; gallbladder preserving lithotomy; choledochoscope

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