| 引用本文: | 黄印,尹梦婕,黄鹏宇,黄宗声,郭先文,梁列新.经脐内镜下保胆取石术的临床应用初探[J].中国临床新医学,0,():-. |
| HUANGYIN.经脐内镜下保胆取石术的临床应用初探[J].中国临床新医学,0,():-. |
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| 摘要: |
| 目的 初步探讨经脐自然腔道软式内镜保胆取石术及可吸收夹在该手术中的有效性和安全性。方法 回顾性分析2020年8月至2021年8月广西壮族自治区人民医院消化内科收治的7例经脐自然腔道软式内镜保胆取石术患者的临床资料。结果 7例患者均顺利完成手术，手术时间121~275 min。术中出血量0~25ml。术中使用可吸收闭合夹为4~10个。胆囊闭合耗时29~93min。术后首次肛门排气或排便时间24~36h。术后2例出现轻微术口疼痛并可自行缓解。住院时间6~10天，住院期间均未发现发热和胆漏、闭合不佳等并发症，随访评估胆囊功能均良好。结论 经脐NOTES内镜下保胆取石术治疗胆囊结石在临床上是安全的、可行的，值得临床推广。 |
| 关键词: 胆囊结石 保胆取石 经脐自然腔道内镜手术 软式内镜 可吸收夹 |
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| 基金项目:广西医药卫生适宜技术开发与推广应用项目 (S2017085) |
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| Preliminary study of clinical application of transumbilical gallbladder-preserving lithotomy via natural orifice transluminal endoscopic |
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HUANGYIN
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Youjiang Medical University for Nationalities
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| Abstract: |
| Objective Cholelithiasis is a common disease. It is worthy exploring the efficacy and safety of absorbable cllips in transumbilical gallbladder-preserving lithotomy via natural orifice transluminal endoscopic surgery. Method A retrospective analysis was performed on the clinical data of 7 patients undergoing transumbilical gallbladder-preserving lithotomy via natural orifice transluminal endoscopic surgery in Department of Gastroenterology, Guangxi Zhuang Autonomous Region People's Hospital from August 2020 to August 2021. Result 7 patients were successfully operated. The operation time was 121~275 min. The intraoperative blood loss was 0~25ml. 4~10 absorbable clamps were used during the operation. The closure time of gallbladder was 29~93min. The time of first anal exhaust or defecation after operation was 24~36h. Slight postoperative pain occurred in 2 cases, which could be relieved by themselves. In hospital time was 6 to 10 days，no postoperative fever occurred in all patients and no complications such as bile leakage and poor closure occurred during hospitalization. In follow up for half year, the gallbladder function of 7 patients was evaluated by trans-abdominal color doppler ultrasound or CT. Among them, 1 case found residual stones and 1 case had stone recurrence. Conclusion Transumbilical gallbladder-preserving lithotomy via natural orifice transluminal endoscopic surgery and the use of absorbable clips in gallbladder incision are safe and feasible in clinical practice. |
| Key words: Cholelithiasis Gallbladder-preserving lithotomy Transumbilical natural orifice transluminal endoscopic surgery Soft endoscopic Absorbable cllips |
