腹腔镜手术修复Mirizzi综合征Ⅱ、Ⅲ型胆囊管缺损29例临床分析
Laparoscopic surgery for repairing biliary duct defect in type Ⅱ, Ⅲ Mirizzi syndrome
对2010年5月至2017年4月在洛阳市第二中医院肝胆外科收治并接受腹腔镜手术治疗的29例Mirizzi综合征Ⅱ、Ⅲ型胆囊管缺损患者的临床资料进行回顾性分析.其中,6例中转开腹,23例均在腹腔镜下采用带蒂胆囊瓣转移修复胆管缺损,术后置T形管支撑引流4~7个月,胆管造影通畅,闭管1周观察无异常后拔除T形管,随访4~ 84个月,术后患者均恢复良好.提示腹腔镜手术修复Mirizzi综合征Ⅱ、Ⅲ型胆管缺损,能够保持胆道通畅,疗效满意,预后良好.
更多Twenty nine patients with biliary duct defect in type Ⅱ,Ⅲ Mirizzi syndrome were treated by laparoscopic surgery at department of surgery,Luoyang Second Traditional Medicine Hospital from May 2010 to April 2017.Among them,23 cases were treated by pedicle gallbladder flap with laparoscopy and 6 cases were converted to open surgery.The postoperative T-tube sustention was lasted for 4-7 months.When the cholangiopancreatography showed no obstruction,the T-tube was closed for a week;then the tube was pulled out if there was no further obstruction.The patients were followed-up for 4-84 months,all patients were cured and no complications occurred.Laparoscopic repair of biliary duct defect in type Ⅱ,Ⅲ Mirizzi syndrome with pedicle gallbladder flap is an effective procedure for physiological function integrity of biliary duct.
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