CAJ | 학술논문

目的探讨选择性保胆取石术治疗胆囊结石的可行性。方法对功能良好的胆囊结石患者，在腹腔镜引导下利用胆道镜取石，并对临床资料进行回顾性分析。结果术中4例胆囊炎症重及1例胆囊周围粘连重改行腹腔镜胆囊切除术（LC ），余51例均成功行保胆取石术，术后随访1～3年，复发1例，复发率为1．96％。结论腹腔镜联合胆道镜保胆取石术治疗胆囊结石，是一种安全、有效、可行、微创的治疗方法，但应严格把握手术指征。
목적탐토선택성보담취석술치료담낭결석적가행성。방법대공능량호적담낭결석환자，재복강경인도하이용담도경취석，병대림상자료진행회고성분석。결과술중4례담낭염증중급1례담낭주위점련중개행복강경담낭절제술（LC ），여51례균성공행보담취석술，술후수방1～3년，복발1례，복발솔위1．96％。결론복강경연합담도경보담취석술치료담낭결석，시일충안전、유효、가행、미창적치료방법，단응엄격파악수술지정。
Objective To discusses the feasibility of selective mini-cholecystolithotomy in treatment of gallstones .Methods To retrospectively analyzes the clinical data of the function good gallstones patients who treatmented by mini-cholecystolithotomy .Re-sults 4 cases treatmented by Laparoscopic cholecystectomy because of the severe cholecystitis ,1 case treatmented by laparoscopic cholecystectomy because of the severe adhesion around the gallbladder .51 cases treatmented by mini-cholecystolithotomy .In the fol-low-up of 1-3 years ,1 case of recurrence ,and the recurrence rate was 1 .96% .Conclusion The mini-cholecystolithotomy is a safe , effective ,feasible ,minimally invasive treatment method in treatmented gallstones ,but should be strictly grasp the surgical indica-tions .