[1]陈荣军唐世龙陈永强梁政罗宇荣齐崧旭宋兴东雷阳.单孔腹腔镜联合超细胆道镜经胆囊管治疗胆囊结石合并胆总管结石的初步经验[J].中国微创外科杂志,2026,01(8):476-481.
　Chen Rongjun,Tang Shilong,Chen Yongqiang,et al.Preliminary Experience of Singleport Laparoscopy Combined With Ultrafine Choledochoscope via Cystic Duct for Cholecystolithiasis With Concomitant Choledocholithiasis[J].Chinese Journal of Minimally Invasive Surgery,2026,01(8):476-481.
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单孔腹腔镜联合超细胆道镜经胆囊管治疗胆囊结石合并胆总管结石的初步经验()

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2026年8期
页码:
476-481
栏目:
临床研究
出版日期:
2026-08-30

文章信息/Info

Title:
Preliminary Experience of Singleport Laparoscopy Combined With Ultrafine Choledochoscope via Cystic Duct for Cholecystolithiasis With Concomitant Choledocholithiasis
作者:
陈荣军唐世龙陈永强梁政罗宇荣齐崧旭宋兴东雷阳
(东莞东华医院普通外科，东莞523000)
Author(s):
Chen Rongjun;  Tang Shilong;  Chen Yongqiang;  et al.
Department of General Surgery, Dongguan Tungwah Hospital, Dongguan 523000, China
关键词:
单孔腹腔镜手术; 超细胆道镜; 经胆囊管手术; 胆总管探查; 胆总管结石
Keywords:
Singleport laparoscopy; Ultrafine choledochoscope; Transcystic surgery; Common bile duct exploration; Choledocholithiasis
文献标志码:
A
摘要:
目的探讨单孔腹腔镜联合超细胆道镜经胆囊管治疗胆囊结石合并胆总管结石的安全性和有效性。方法回顾性分析2025年3月~2026年3月单孔腹腔镜联合2.5 mm超细胆道镜经胆囊管治疗33例胆囊结石合并继发性胆总管结石的临床资料。纳入标准：胆总管结石≤3枚、最大径≤8 mm且胆总管直径≤10 mm的胆囊结石合并胆总管结石。结果29例(87.9%)成功完成单孔腹腔镜联合超细胆道镜经胆囊管探查取石一期缝合，4例(12.1%)因胆囊管过细或结石嵌顿中转为多孔腹腔镜胆总管切开取石一期缝合。29例成功者手术时间(108.6±25.1)min，术中出血量(10.7±11.2)ml，术后住院时间(5.5±0.9)d。全组结石清除率100%(33/33)。33例术后均无胆漏、腹腔感染、胰腺炎、切口感染等并发症。术后1个月随访，33例均恢复良好，无胆道残余结石，美容满意度评分(13.4±2.0)分。结论初步结果显示，对于胆总管结石≤3枚、最大径≤8 mm且胆总管直径≤10 mm的胆囊结石合并胆总管结石，单孔腹腔镜联合超细胆道镜经胆囊管胆总管探查取石一期缝合安全、有效。
Abstract:
ObjectiveTo evaluate the safety and efficacy of singleport laparoscopy combined with ultrafine choledochoscope via the cystic duct in the treatment of cholecystolithiasis with concomitant choledocholithiasis.MethodsA retrospective analysis was performed on 33 patients with gallbladder stones and secondary common bile duct stones who underwent singleport laparoscopy combined with 2.5 mm ultrafine choledochoscope via the cystic duct between March 2025 and March 2026. Inclusion criteria were: ≤ 3 common bile duct stones, maximum common bile duct stone diameter ≤ 8 mm, and common bile duct diameter ≤ 10 mm.ResultsTwentynine cases (87.9%) were successfully completed with singleport laparoscopy combined with ultrafine choledochoscope via the cystic duct for exploration, stone extraction, and primary closure, while 4 cases (12.1%) were converted to multiport laparoscopic choledochotomy with primary closure due to a very narrow cystic duct or impacted stones. In the 29 successful cases, the operative time was (108.6±25.1) min, the intraoperative blood loss was (10.7±11.2) ml, and the postoperative hospital stay was (5.5±0.9) d. The stone clearance rate of all patients was 100% (33/33). No postoperative complications such as bile leak, abdominal infection, pancreatitis, or wound infection occurred in all the 33 cases. At the 1month followup, all the 33 patients recovered well with no residual biliary stones, and the cosmetic satisfaction score was (13.4±2.0) points.ConclusionPreliminary results indicate that for patients with gallbladder stones and concomitant choledocholithiasis meeting the criteria of ≤ 3 common bile duct stones, maximum common bile duct stone diameter ≤ 8 mm, and common bile duct diameter ≤ 10 mm, singleport laparoscopy combined with ultrafine choledochoscope via the cystic duct and primary closure is safe and effective.

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备注/Memo

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更新日期/Last Update: 2026-09-01