CAJ | 학술논문

目的研究腹腔镜治疗胆囊结石并肝外非结石性良性梗阻性黄疸的可行性.方法对采用腹腔镜治疗的11例胆囊结石并肝外非结石性良性梗阻性黄疸病历资料进行回顾性研究.结果10例成功实施腹腔镜手术,其中腹腔镜胆囊切除术(LC)4例,腹腔镜胆囊切除、胆总管探查术(LCBDE)6例；1例因胆囊三角冰冻样粘连及胆囊动脉变异(横跨胆总管)而中转开腹；各种手术患者均治愈,随访6个月,无异常.结论胆囊结石并肝外非结石性良性梗阻性黄疸是对腹腔镜外科医师的一种考验,术中诊断甚为重要,依靠术者的经验积累和耐心细致的操作,采用合理的手术方式,是可以成功的.
목적 연구복강경치료담낭결석병간외비결석성량성경조성황달적가행성.방법 대채용복강경치료적11례담낭결석병간외비결석성량성경조성황달병력자료진행회고성연구.결과10례성공실시복강경수술,기중복강경담낭절제술(LC)4례,복강경담낭절제、담총관탐사술(LCBDE)6례；1례인담낭삼각빙동양점련급담낭동맥변이(횡과담총관)이중전개복；각충수술환자균치유,수방6개월,무이상.결론 담낭결석병간외비결석성량성경조성황달시대복강경외과의사적일충고험,술중진단심위중요,의고술자적경험적루화내심세치적조작,채용합리적수술방식,시가이성공적.
Objective To evaluate the possibility and reliability of laparoscopic management of cholelithiasis merging extrahepatic and acalculous and benign obstructive jaundice. Methods Eleven patients with cholelithiasis merging extrahepatic and acalculous and benign obstructive jaundice who underwent laparoscopic management were retrospectively studied.Results Ten cases were successful with laparoscopic management,among the total,4 patients were underwent laparoscopic cholecystectomy (LC),6 cases were experienced LC and laparoscopic common bile duct exploration (LCBDE).One case was converted to open operation.No serious complications were observed.All the patients were cured after the operative treatment.None of the complications could be traced after follow-up for 6 months. Conclusions Cholelithiasis merging extrahepatic and acalculous and benign obstructive jaundice is a challenge to laparoscopic surgeons.Intraoperative diagnosis is very difficultly,but very important.It is better prognosis by careful and skilled operators and reasonable operative method to be chose.