完成胆囊切除术用于有症状的囊性管道茎结石
Saket Kumar1,2, Makarand Langhe1,2, Abhay Kumar1,2
1Department of Surgical Gastroenterology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India. (Drs. S. Kumar, Langhe, Sharma, Shanker and Mandal).
概括
症状性囊性管道茎石可以导致后胆固醇切除综合征,通常需要完成胆固醇切除术. 腹腔镜手术是这种不常见的并发症的安全有效的治疗选择.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 腹部手术 腹部手术
背景情况:
- 囊管茎残留物是后胆固醇切除综合征的不常见原因.
- 在残留物中的症状性石头通常需要重复手术.
研究的目的:
- 描述症状性囊性管道茎石的临床表现和外科治疗.
- 为了评估完成胆囊切除术对这种情况的结果.
主要方法:
- 对60名因残留性囊性通道疾病而经过完成胆囊切除术的患者进行前性研究.
- 收集的数据包括人口统计,临床表现,手术方法和术后结果.
- 调查包括腹部超声波和磁共振胆血管细胞造影.
主要成果:
- 大多数患者 (93.3%) 呈现出疼痛.
- 完成胆囊切除术在47例病例中通过腹腔镜进行,在10例病例中进行开放式切除.
- 平均手术时间为85分钟,平均住院时间为3天. 阳性胆道损伤发生在3.3%的病例中.
结论:
- laparoscopic完成胆囊切除术是一种可行的和安全的方法.
- 这种技术是可行的选择,即使对于以前进行过开放胆囊切除术的患者.
- 它正在成为手术专业知识可用的首选治疗方法.
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