CAJ | 학술논문

目的：总结腹腔镜治疗胆囊术后残余胆囊结石的手术经验。方法收集、分析15例残余胆囊发生的原因，明确诊断并再次使用腹腔镜治疗。结果15例患者应用腹腔镜将胆囊术后残余胆囊再次切除均痊愈，疗效满意。结论在用腹腔镜行胆囊术后残余胆囊切除术时，应注意术前评估的重要性，术中注意穿刺点的位置，避免损伤腹腔内脏器，术中仔细分离粘连，解剖残余胆囊，处理好三管关系，避免损伤胆总管；必要时术中可用超声技术确定残余胆囊及结石的准确位置；术后根据术中具体情况决定是否放置腹腔引流管。
목적：총결복강경치료담낭술후잔여담낭결석적수술경험。방법수집、분석15례잔여담낭발생적원인，명학진단병재차사용복강경치료。결과15례환자응용복강경장담낭술후잔여담낭재차절제균전유，료효만의。결론재용복강경행담낭술후잔여담낭절제술시，응주의술전평고적중요성，술중주의천자점적위치，피면손상복강내장기，술중자세분리점련，해부잔여담낭，처리호삼관관계，피면손상담총관；필요시술중가용초성기술학정잔여담낭급결석적준학위치；술후근거술중구체정황결정시부방치복강인류관。
Objective:To summarize the surgical experience of treating the remaining galbladder after cholecystectomy.Avoiding remaining galbladder occurring again. Methods: The cause diagnosis and laparoscopy of fifteen patients with remaining galbladder were performed.Results:The laparoscopic surgery were succeeded for fifteen patients with remaining galbladder.Conclusions:Attention should be paid to the importance of preoperative assessment, especialy in MRI reconstruction.The first puncture point must be noticed when remaining galbladder resection by laparoscopy, avoiding hurt abdominal viscera and common bile duct. Operator can use ultrasound techniques in order to determine exactly position of remaining galbladder. After operation, the drainage tube is set according to specific status.