CAJ | 학술논문

目的：探讨降低双镜联合保胆取石术后结石复发率的有效措施。方法回顾性分析64例行腹腔镜联合胆道镜保胆取石术患者的临床资料。结果手术过程顺利，术后无胆漏等严重并发症发生，随访6～24个月，有2例结石复发，复发率3．12％。结论腹腔镜联合胆道镜保胆取石术是安全有效的，通过术前、术中、术后分别采取相应措施，可有效降低保胆取石术后结石的复发率。
목적：탐토강저쌍경연합보담취석술후결석복발솔적유효조시。방법회고성분석64례행복강경연합담도경보담취석술환자적림상자료。결과수술과정순리，술후무담루등엄중병발증발생，수방6～24개월，유2례결석복발，복발솔3．12％。결론복강경연합담도경보담취석술시안전유효적，통과술전、술중、술후분별채취상응조시，가유효강저보담취석술후결석적복발솔。
Objective To discuss the effective measures in reducing recurrence rate after gall-bladder-preserving cholelithotomy through laparoscopic and choledochoscopic procedures.Methods The clinical data of 64 patients treated by gallbladder-preserving cholelithotomy through laparoscopic and cho-ledochoscopic procedures were retrospectively analyzed.Results All the operations were successfully per-formed without serious postoperative complications such as bile leakage.The patients were followed up for 6 to 24 months and 2 cases(3.12%)of gallbladder stone recurred.Conclusion Gallbladder-preserving cholelithotomy through laparoscopic and choledochoscopic procedures is safe and effective.Corresponding measures can be adopted to reduce the recurrence rate during the preoperative,intraoperative and postoper-ative periods.