摘要
目的：探讨单孔腹腔镜基础下联合经皮胆囊镜（腹腔镜联合胆囊镜两孔法）保胆息肉摘除术（TLCPGP）的指征、方法及临床价值。方法：回顾性分析2013年3月—2014年5月40例患者行TLCPGP的临床资料。结果：40例患者中38例完成手术,2例因胆囊炎症较重改行腹腔镜胆囊切除术。所有患者均痊愈出院。手术时间40-92 min,平均63.5 min。随访无1例患者复发,胆囊收缩功能正常,无术后腹痛、胆瘘、出血等严重并发症发生。结论：TLCPGP视野清晰,创伤小,既能摘除息肉,又可保留胆囊功能,安全可行。
Objective： To discuss the indirection, methods and clinical value of two incision laparoscope combine cholecystoscope polypectomy with gallbladder preservation（TLCPGP）. Methods： 40 patients with gallbladder polyps were retrospectively analyzed who were treated with minimally invasive removal of 38 gallbladder polyps from March 2013 to May 2014, by using laparoscopy combined with cholecystoscope. The incision on the fundus of gallbladder was made about 10 mm,then gallbladder polyps removed with electric hook and biopsy forceps under the observation withcholecystoscope. After clearly removing all polyps, the gallbladder was washed with saline, and the incision of gallbladder was sewed using absorable thread. Results： The operative time was from 40 min to 92 min, average 63.5 min. 40 patients with gallbladder polyps who were treated with minimally invasive removal of gallbladder polyps, in which 2 patients transverse to laparoscopic cholecystectomy. With the follow-up, patients were examined under B ultrasound, normal gallbladder contractility and no relapses was shown in those patients. Conclusion： Minimally invasive choledochoscopy is curable for treatment of gallbladder polyps and provide a clearer vision for us. This observation has confirm the feasibility and safety of TLNPGP which preserved the gallbladder function, removed the polyps, and confirmed the diagnosis.
出处
《中国现代普通外科进展》
CAS
2015年第1期26-29,共4页
Chinese Journal of Current Advances in General Surgery
基金
盛京自由研究者计划(M981)
关键词
胆囊息肉
保胆息肉摘除术
腹腔镜
胆囊镜
Gallbladder polyps
Polypectomy with gallbladder preservation
Cholecystoscope
Laparoscope
