Lin Xiaokun, Cai Jingli, Wang Jisheng, Chen Congde, He Guorong, Han Yijiang
Departments of *Pediatric Surgery †Hepatobiliary Surgery, The Second Affiliated Hospital and Yuying Children's Hospital, Wenzhou Medical University, Wenzhou, China.
Surg Laparosc Endosc Percutan Tech. 2017 Oct;27(5):e108-e110. doi: 10.1097/SLE.0000000000000429.
Minimally invasive cholecystolithotomy is recently popularized treatment that may offer advantages over laparoscopic cholecystectomy, especially in China. However, there are few reports concerning the use of this technique in the pediatric population. This report describes our initial experience with minimally invasive cholecystolithotomy using laparoscopy combined with choledochoscopy to treat cholecystolithiasis in children.
A retrospective review of 23 pediatric patients with cholecystolithiasis who underwent minimally invasive cholecystolithotomy using laparoscopy combined with choledochoscopy from January 2009 to December 2015 was performed.
The operations were successful in all 23 cases. None required conversion to conventional laparoscopic cholecystectomy. The average operative time was 68 minutes (range, 45 to 97 min). The average bleeding volume during surgery was 30 mL (range, 10 to 55 mL). The average length of hospital stay was 5.2 days (range, 3 to 7 d). There were no perioperative complications. All patients were followed for 9 to 12 months without any obvious gastrointestinal symptoms. None had a recurrence of stones in the gall bladder.
Minimally invasive cholecystolithotomy using laparoscopy combined with choledochoscopy is a safe and viable technique that may be used successfully in pediatric surgery.
微创胆囊取石术是一种近来得到推广的治疗方法，可能比腹腔镜胆囊切除术更具优势，尤其在中国。然而，关于该技术在儿科患者中的应用报道较少。本报告描述了我们使用腹腔镜联合胆道镜进行微创胆囊取石术治疗儿童胆囊结石的初步经验。
对2009年1月至2015年12月期间接受腹腔镜联合胆道镜微创胆囊取石术的23例儿童胆囊结石患者进行回顾性分析。
23例手术均成功。无一例需要转为传统腹腔镜胆囊切除术。平均手术时间为68分钟（范围45至97分钟）。术中平均出血量为30毫升（范围10至55毫升）。平均住院时间为5.2天（范围3至7天）。无围手术期并发症。所有患者随访9至12个月，无明显胃肠道症状。无一例胆囊结石复发。
腹腔镜联合胆道镜微创胆囊取石术是一种安全可行的技术，可成功应用于小儿外科手术。
