School of Medicine, University of South China.
Department of General Surgery, National Clinical Research Center for Infectious Disease, Shenzhen Third Peoples Hospital, The Second Affiliated Hospital of Southern University of Science and Technology.
Surg Laparosc Endosc Percutan Tech. 2020 Aug;30(4):317-321. doi: 10.1097/SLE.0000000000000786.
The gold standard treatment for cholecystolithiasis is laparoscopic cholecystectomy. However, the complications of cholecystectomy have led to adoption of gallbladder-preserving surgery. The study was to investigate significance of transparent cap-assisted choledochoscopy in gallbladder-preserving surgery.
This is a retrospective study of patients who underwent gallbladder-preserving surgery by laparoscopic choledochoscopy along with choledochoscopy with or without a transparent cap from January 2018 to September 2018 in our hospital. The differences in the duration of gallbladder exploration, surgical complications, adverse events, and the recurrence of stones within 6 months after surgery were compared between 2 groups.
Fifty patients underwent laparoscopic choledochoscopy along with choledochoscopy without transparent cap (Group A), while 50 patients underwent laparoscopic along with transparent cap-assisted choledochoscopy (Group B). Gallbladder exploration time was 27.96±12.24 minutes in Group A, and 12.04±6.01 minutes in Group B. One case had stone recurrence within 6 months in Group B, while 8 cases had stone recurrence in group A.
Comparing with laparoscope combined with choledochoscopy, transparent cap-assisted choledochoscopy has advantages in gallbladder-preserving surgery.
胆囊结石的金标准治疗方法是腹腔镜胆囊切除术。然而，胆囊切除术的并发症导致了保胆手术的采用。本研究旨在探讨透明帽辅助胆道镜在保胆手术中的意义。
这是一项回顾性研究，纳入了 2018 年 1 月至 2018 年 9 月在我院接受腹腔镜胆道镜联合胆道镜（有或无透明帽）保胆手术的患者。比较两组患者胆囊探查时间、手术并发症、不良事件以及术后 6 个月内结石复发的差异。
50 例患者接受无透明帽的腹腔镜胆道镜联合胆道镜检查（A 组），50 例患者接受透明帽辅助腹腔镜胆道镜检查（B 组）。A 组胆囊探查时间为 27.96±12.24 分钟，B 组为 12.04±6.01 分钟。B 组有 1 例患者在术后 6 个月内复发结石，A 组有 8 例复发结石。
与腹腔镜联合胆道镜相比，透明帽辅助胆道镜在保胆手术中有优势。
