[1]赵世录,禹雪,杨亚兵,等.腹腔镜胆囊型保留Oddi括约肌的胆管整形皮下盲襻埋置术的中期随访结果[J].中国微创外科杂志,2017,17(12):1074-1076.
　Zhao Shilu,Yu Xue,Yang Yabing,et al.Medium-term Results of Laparoscopic Gallbladder Type Oddi Sphincter-preserved Cholangioplasty with Hepatico-subcutaneous Stoma[J].Chinese Journal of Minimally Invasive Surgery,2017,17(12):1074-1076.
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腹腔镜胆囊型保留Oddi括约肌的胆管整形皮下盲襻埋置术的中期随访结果()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
17
期数:
2017年12期
页码:
1074-1076
栏目:
临床研究
出版日期:
2017-12-20

文章信息/Info

Title:
Medium-term Results of Laparoscopic Gallbladder Type Oddi Sphincter-preserved Cholangioplasty with Hepatico-subcutaneous Stoma
作者:
赵世录; 禹雪; 杨亚兵; 马浚仁; 徐智; 侯纯升; 王立新; 凌晓锋**
北京大学第三医院普外科，北京100191
Author(s):
Zhao Shilu;  Yu Xue;  Yang Yabing;  et al.
Department of General Surgery, Peking University Third hospital, Beijing 100191, China
关键词:
肝内胆管结石病; 腹腔镜; 保留Oddi括约肌的胆管整形皮下盲襻埋置术
Keywords:
Hepatolithiasis; Laparoscopy; Oddi sphincter-preserved cholangioplasty with hepaticosubcutaneous stoma
文献标志码:
A
摘要:
目的探讨腹腔镜胆囊型保留Oddi括约肌的胆管整形皮下盲襻埋置术（Oddi sphincter-preserved cholangioplasty with hepatico-subcutaneous stoma， OSPCHS）微创治疗肝内胆管结石病的疗效。方法2011年1月~2016年5月我院采用完全腹腔镜胆囊型OSPCHS治疗肝内胆管结石17例，在保留Oddi括约肌的前提下，打开肝门部胆管，形成盆状，胆囊修复胆管前壁，胆囊底部埋置皮下，同时联合行病变肝脏切除术。结果结石清除率82.4%（14/17）。17例术后平均随访38.5月(11~67个月)：胆管炎发作1例，复发率5.9%（1/17）；3例结石复发（21.4%，3/14），采用小切口盲襻切开、胆道镜取石。结论腹腔镜胆囊型OSPCHS治疗肝内胆管结石病可获得满意的中期疗效。
Abstract:
ObjectiveTo investigate the efficacy of laparoscopic gallbladder type Oddi sphincter-preserved cholangioplasty with hepaticosubcutaneous stoma (OSPCHS) for hepatolithiasis.MethodsFrom January 2011 to May 2016, 17 hepatolithiasis cases had undergone totally laparoscopic gallbladder type OSPCHS in our hospital. With the preservation of the Oddi sphincter, the hepatic duct was opened to make a basin at the porta and repaired by the cholecyst, the fundus of which was set subcutaneously. At the same time, the portion of the damaged liver was resected. ResultsThe complete stone clearance rate was 82.4% (14/17). The mean follow-up was 38.5 months (range, 11-67 months) in the 17 cases. One patient (5.9%, 1/17) suffered from recurrent cholangitis postoperatively. Three patients (21.4%, 3/14) had stone recurrence, and were treated by cholangioscopy through the hepatico-subcutaneous stoma.ConclusionLaparoscopic gallbladder type OSPCHS is safe, effective and minimally invasive for hepatholithiasis, achieving a satisfactory medium-term results.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：北京市自然科学基金（7172233）**通讯作者，E-mail:xiaofengling2005@126.com
更新日期/Last Update: 2018-03-21