Hoozemans Jacqueline B, Groen Albert K, de Brauw L Maurits
Spaarne Gasthuis, Hoofddorp. Afd. Heelkunde.
Amsterdam UMC, afd. Vasculaire Geneeskunde en Systeembiologie, Amsterdam.
Ned Tijdschr Geneeskd. 2022 Jul 21;166:D6658.
Laparoscopic cholecystectomy is the standard treatment for upper abdominal complaints in the presence of gallbladder stones. This operation is a mediocre solution since only 63 % of the operated patients the symptoms become symptom free after one year. The laparoscopic cholecystolithotomy is an alternative procedure for removal of gallstones while preserving the gallbladder. This technique is being performed in Asia, but not in Western countries. The technique seems promising in patients after a bariatric procedure. These patients have a temporarily increased incidence of gallbladder stones. Laparoscopic cholecystectomy is associated with a an increased complication rate in these patients. But also non bariatric patients with symptomatic gallbladder stones might benefit from a laparoscopic cholecystolithotomy.
腹腔镜胆囊切除术是胆囊结石存在时上腹部不适的标准治疗方法。该手术是一种一般的解决方案，因为只有63%的接受手术的患者在一年后症状消失。腹腔镜胆囊取石术是一种在保留胆囊的同时去除胆结石的替代手术。这种技术在亚洲开展，但在西方国家没有。该技术在减肥手术后的患者中似乎很有前景。这些患者胆囊结石的发病率暂时增加。腹腔镜胆囊切除术在这些患者中并发症发生率增加。但有症状性胆囊结石的非减肥手术患者也可能从腹腔镜胆囊取石术中受益。
