Combination laparoscopy, hard gallbladder endoscopy and soft choledochoscopy for removing calculi (polyp) and conserving gallbladder
10.3760/cma.j.issn.1007-631X.2012.05.007
- VernacularTitle:腹腔镜、硬质胆囊镜、软质胆道镜三镜技术在保胆取石(息肉)术的临床应用
- Author:
Shaohua WEI
;
Tongling ZHANG
;
Wei LI
;
Jie REN
;
Jun PAN
;
Baolei LI
;
Chunwei GU
;
Haorong WU
- Publication Type:Journal Article
- Keywords:
Gallbladder diseases;
Laparoscopy;
Endoscopy,digestive system
- From:
Chinese Journal of General Surgery
2012;27(5):373-376
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo evaluate gallbladder conserving gallstone removal and polyps resection using combination laparoscopy,hard gallbladder endoscopy and soft choledochoscopy.MethodsClinical data of 122 patients with cholecystolithiasis or polyps undergoing removal of calculus (polyps) and preservation of gallbladder were analyzed retrospectively.ResultsGallstones in 56 patients and polyps in 24 cases was removed or resected successfully by laparoscopy and hard gallbladder endoscopy; In the remaining 34 cases stones were completely removed by combination soft choledochoscopy; 8 cases were converted to laparoscopic cholecystectomy.Romoved stone was single in 25 cases and multiple in 65 cases,with the number ranging from 1to 52,the diameter of stone ranged from 0.2 cm to 3.2 cm.In the 24 gallbladder polyps,7 cases were single,17 cases were multiple,the diameter of polyp ranged from 0.8cm to 1.2 cm.The operation time was 40-125 (78) min. The mean hospitalization was 4 days. No intraoperative and postoperative complications occurred.All patients were followed up for 1year.Gallstones recurred in 3 cases,and the recurrence rate was 3.06％. ConclusionsLaparoscopy combined with hard gallbladder endoscopy and soft choledochoscopy for removing calculi (polyp) and conserving gallbladder is safe and feasible.
