目的 介紹內鏡保膽取石術的臨床研究現(xiàn)狀。
方法 復習和總結了近年來的相關文獻,對保膽的依據(jù)、保膽取石術的優(yōu)勢及其適應證和禁忌證、手術方法 、當前存在的爭議等問題進行綜述。
結果 膽囊切除術后并發(fā)癥為內鏡保膽取石術提供了客觀依據(jù),內鏡技術上的進步為保膽提供了可能。內鏡保膽取石術的爭議主要是適應證的選擇和手術操作,不恰當?shù)剡x擇病例,盲目追求保膽取石將使膽囊結石的治療事與愿違。
結論 內鏡保膽取石術能夠取盡結石,保留膽囊功能,但術后結石復發(fā)有待更進一步的研究和長期隨訪。
引用本文: 王旭,王翔翔,唐彤,孫建明. 內鏡保膽取石術臨床研究現(xiàn)狀. 中國普外基礎與臨床雜志, 2009, 16(9): 773-776. doi: 復制
版權信息: ?四川大學華西醫(yī)院華西期刊社《中國普外基礎與臨床雜志》版權所有,未經(jīng)授權不得轉載、改編
1. | 吳階平, 裘法祖主編. 黃家駟外科學 [M]. 第6版. 北京: 人民衛(wèi)生出版社, 2000: 1290-1291. |
2. | 冉瑞圖. 關于膽囊切除術的幾點意見 [J]. 中國普外基礎與臨床雜志, 2008; 15(2): 81-82. |
3. | Stathopoulos P, Zundt B, Spelsberg FW, et al. Relation of gallbladder function and Helicobacter pylori infection to gastric mucosa inflammation in patients with symptomatic cholecystolithiasis [J]. Digestion, 2006; 73(2-3): 69-74. |
4. | Moorehead RJ, Mills JO, Wilson HK, et al. Cholecystectomy and the development of colorectal neoplasia: a prospective study [J]. Ann R Coll Surg Engl, 1989; 71(1): 37-39. |
5. | Vernick LJ, Kuller LH, Lohsoonthorn P, et al. Relationship between cholecystectomy and ascending colon cancer [J].Cancer, 1980; 45(2): 392-395. |
6. | Morvay K, Szentléleki K, Trk G, et al. Effect of change of fecal bile acid excretion achieved by operative procedures on 1, 2-dimethylhydrazine-induced colon cancer in rats [J]. Dis Colon Rectum, 1989; 32(10): 860-863. |
7. | Bandettini L, Filipponi F, Romagnoli P. Increase of the mitotic index of colonic mucosa after cholecystectomy [J]. Cancer, 1986; 58(3): 685-687. |
8. | 孫登群, 汪國營, 孟翔凌, 等. 膽囊結石、膽囊切除術與大腸癌關系的臨床研究 [J]. 中國普外基礎與臨床雜志, 2007; 14(2): 208-209. |
9. | 李樹吉, 張秀云. 醫(yī)源性膽管損傷的預防與治療(國內文獻綜述) [J]. 中國普通外科雜志, 2005; 14(8): 608-610. |
10. | Lum YW, House MG, Hayanga AJ, et al. Postcholecystectomy syndrome in the laparoscopic era [J]. J Laparoendosc Adv Surg Tech A, 2006; 16(5): 482-485. |
11. | Madácsy L, Fejes R, Kurucsai G, et al. Characterization of functional biliary pain and dyspeptic symptoms in patients with sphincter of Oddi dysfunction: effect of papillotomy [J].World J Gastroenterol, 2006; 12(42): 6850-6856. |
12. | 冉瑞圖. 發(fā)展中國特色的膽道外科 [J]. 中華肝膽外科雜志, 2006; 6(3): 163-165. |
13. | 榮萬水. 內鏡保膽取石術與腹腔鏡膽囊切除術對患者生存質量的影響 [J]. 中國內鏡雜志, 2003; 9(8): 23-25. |
14. | Grundy SM. Cholesterol gallstones: a fellow traveler with metabolic syndrome? [J]. Am J Clin Nutr, 2004; 80(1): 1-2. |
15. | Jiang ZY, Parini P, Eggertsen G, et al. Increased expression of LXR alpha, ABCG5, ABCG8, and SR-BI in the liver from normolipidemic, nonobese Chinese gallstone patients [J]. J Lipid Res, 2008; 49(2): 464-472. |
16. | Wang Y, Jiang ZY, Fei J, et al. ATP binding cassette G8 T400K polymorphism may affect the risk of gallstone disease among Chinese males [J]. Clin Chim Acta, 2007; 384(1-2): 80-85. |
17. | Kuo KK, Shin SJ, Chen ZC, et al. Significant association of ABCG5 604Q and ABCG8 D19H polymorphisms with gallstone disease [J]. Br J Surg, 2008; 95(8): 1005-1011. |
18. | 孔凡民, 隋春陽, 李航宇, 等. 膽囊膽固醇結石與肝細胞膽管膜上轉運子BSEP、MRP2和MDR3關系的研究 [J]. 中國普外基礎與臨床雜志, 2006; 13(3): 314-316.. |
19. | Ure BM, De Jong MM, Bax KN. Outcome after laparoscopic cholecystotomy and cholecystectomy in children with symptomatic cholecystolithiasis: a preliminary report [J]. Pediatr Surg Int, 2001; 17(5-6): 396-398. |
20. | 楊五計, 胡安國, 李志偉, 等. 經(jīng)皮膽鏡碎石清除術的術式及適應證 [J]. 中華普通外科雜志, 2001; 16(6): 328-330. |
21. | Kellett MJ, Wickham JE, Russel RC. Percutaneous cholecystolithotomy [J]. Br Med J (Clin Res Ed), 1988; 296 (6620): 453-455. |
22. | 錢志平, 肖蔭祺, 李為民, 等. 經(jīng)皮膽囊碎石術的臨床應用 [J]. 中華外科雜志, 1991; 29(10): 619-622. |
23. | 張冰, 荀祖武, 方榮興, 等. 經(jīng)皮膽鏡膽囊碎石清除術: 附421報告 [J]. 中華外科雜志, 1991; 29(6): 350-351. |
24. | 蕭蔭祺, 錢志平, 許紅兵, 等. 經(jīng)皮膽囊碎石術的近期隨訪結果 [J]. 普外臨床, 1993; 8(4): 205-207. |
25. | 張寶善. 關于膽囊結石治療的爭論-與Langenbuch理論商榷 [J]. 中國醫(yī)刊, 2007; 42(5): 2-5. |
26. | 榮萬水. 微創(chuàng)膽囊切開取石術的臨床評價 [J]. 中國內鏡雜志, 2002; 8(12): 21-23. |
27. | 徐立友, 宋釗, 付廷海, 等. 623例內鏡保膽取石術 [J].中華消化外科雜志, 2007; 6(6): 459-461. |
28. | 陳培, 王炳生, 何連齊, 等. 上海地區(qū)膽囊結石復發(fā)的多因素分析 [J]. 中華普通外科雜志, 1998; 13(3): 134-136. |
29. | 鄒一平, 蕭蔭祺. 保膽取石術有關問題的探討 [J]. 中華肝膽外科雜志, 2009; 15(1): 1-3. |
30. | 劉衍民, 文輝清. 目前保留膽囊手術的幾個問題 [J]. 中華外科雜志, 2008; 4(10): 721-723. |
31. | 程國華, 隋晉平, 陸明. 經(jīng)皮膽鏡膽囊碎石取石術(附684例報告) [J]. 中國普通外科雜志, 1994; 3(1): 15-17. |
- 1. 吳階平, 裘法祖主編. 黃家駟外科學 [M]. 第6版. 北京: 人民衛(wèi)生出版社, 2000: 1290-1291.
- 2. 冉瑞圖. 關于膽囊切除術的幾點意見 [J]. 中國普外基礎與臨床雜志, 2008; 15(2): 81-82.
- 3. Stathopoulos P, Zundt B, Spelsberg FW, et al. Relation of gallbladder function and Helicobacter pylori infection to gastric mucosa inflammation in patients with symptomatic cholecystolithiasis [J]. Digestion, 2006; 73(2-3): 69-74.
- 4. Moorehead RJ, Mills JO, Wilson HK, et al. Cholecystectomy and the development of colorectal neoplasia: a prospective study [J]. Ann R Coll Surg Engl, 1989; 71(1): 37-39.
- 5. Vernick LJ, Kuller LH, Lohsoonthorn P, et al. Relationship between cholecystectomy and ascending colon cancer [J].Cancer, 1980; 45(2): 392-395.
- 6. Morvay K, Szentléleki K, Trk G, et al. Effect of change of fecal bile acid excretion achieved by operative procedures on 1, 2-dimethylhydrazine-induced colon cancer in rats [J]. Dis Colon Rectum, 1989; 32(10): 860-863.
- 7. Bandettini L, Filipponi F, Romagnoli P. Increase of the mitotic index of colonic mucosa after cholecystectomy [J]. Cancer, 1986; 58(3): 685-687.
- 8. 孫登群, 汪國營, 孟翔凌, 等. 膽囊結石、膽囊切除術與大腸癌關系的臨床研究 [J]. 中國普外基礎與臨床雜志, 2007; 14(2): 208-209.
- 9. 李樹吉, 張秀云. 醫(yī)源性膽管損傷的預防與治療(國內文獻綜述) [J]. 中國普通外科雜志, 2005; 14(8): 608-610.
- 10. Lum YW, House MG, Hayanga AJ, et al. Postcholecystectomy syndrome in the laparoscopic era [J]. J Laparoendosc Adv Surg Tech A, 2006; 16(5): 482-485.
- 11. Madácsy L, Fejes R, Kurucsai G, et al. Characterization of functional biliary pain and dyspeptic symptoms in patients with sphincter of Oddi dysfunction: effect of papillotomy [J].World J Gastroenterol, 2006; 12(42): 6850-6856.
- 12. 冉瑞圖. 發(fā)展中國特色的膽道外科 [J]. 中華肝膽外科雜志, 2006; 6(3): 163-165.
- 13. 榮萬水. 內鏡保膽取石術與腹腔鏡膽囊切除術對患者生存質量的影響 [J]. 中國內鏡雜志, 2003; 9(8): 23-25.
- 14. Grundy SM. Cholesterol gallstones: a fellow traveler with metabolic syndrome? [J]. Am J Clin Nutr, 2004; 80(1): 1-2.
- 15. Jiang ZY, Parini P, Eggertsen G, et al. Increased expression of LXR alpha, ABCG5, ABCG8, and SR-BI in the liver from normolipidemic, nonobese Chinese gallstone patients [J]. J Lipid Res, 2008; 49(2): 464-472.
- 16. Wang Y, Jiang ZY, Fei J, et al. ATP binding cassette G8 T400K polymorphism may affect the risk of gallstone disease among Chinese males [J]. Clin Chim Acta, 2007; 384(1-2): 80-85.
- 17. Kuo KK, Shin SJ, Chen ZC, et al. Significant association of ABCG5 604Q and ABCG8 D19H polymorphisms with gallstone disease [J]. Br J Surg, 2008; 95(8): 1005-1011.
- 18. 孔凡民, 隋春陽, 李航宇, 等. 膽囊膽固醇結石與肝細胞膽管膜上轉運子BSEP、MRP2和MDR3關系的研究 [J]. 中國普外基礎與臨床雜志, 2006; 13(3): 314-316..
- 19. Ure BM, De Jong MM, Bax KN. Outcome after laparoscopic cholecystotomy and cholecystectomy in children with symptomatic cholecystolithiasis: a preliminary report [J]. Pediatr Surg Int, 2001; 17(5-6): 396-398.
- 20. 楊五計, 胡安國, 李志偉, 等. 經(jīng)皮膽鏡碎石清除術的術式及適應證 [J]. 中華普通外科雜志, 2001; 16(6): 328-330.
- 21. Kellett MJ, Wickham JE, Russel RC. Percutaneous cholecystolithotomy [J]. Br Med J (Clin Res Ed), 1988; 296 (6620): 453-455.
- 22. 錢志平, 肖蔭祺, 李為民, 等. 經(jīng)皮膽囊碎石術的臨床應用 [J]. 中華外科雜志, 1991; 29(10): 619-622.
- 23. 張冰, 荀祖武, 方榮興, 等. 經(jīng)皮膽鏡膽囊碎石清除術: 附421報告 [J]. 中華外科雜志, 1991; 29(6): 350-351.
- 24. 蕭蔭祺, 錢志平, 許紅兵, 等. 經(jīng)皮膽囊碎石術的近期隨訪結果 [J]. 普外臨床, 1993; 8(4): 205-207.
- 25. 張寶善. 關于膽囊結石治療的爭論-與Langenbuch理論商榷 [J]. 中國醫(yī)刊, 2007; 42(5): 2-5.
- 26. 榮萬水. 微創(chuàng)膽囊切開取石術的臨床評價 [J]. 中國內鏡雜志, 2002; 8(12): 21-23.
- 27. 徐立友, 宋釗, 付廷海, 等. 623例內鏡保膽取石術 [J].中華消化外科雜志, 2007; 6(6): 459-461.
- 28. 陳培, 王炳生, 何連齊, 等. 上海地區(qū)膽囊結石復發(fā)的多因素分析 [J]. 中華普通外科雜志, 1998; 13(3): 134-136.
- 29. 鄒一平, 蕭蔭祺. 保膽取石術有關問題的探討 [J]. 中華肝膽外科雜志, 2009; 15(1): 1-3.
- 30. 劉衍民, 文輝清. 目前保留膽囊手術的幾個問題 [J]. 中華外科雜志, 2008; 4(10): 721-723.
- 31. 程國華, 隋晉平, 陸明. 經(jīng)皮膽鏡膽囊碎石取石術(附684例報告) [J]. 中國普通外科雜志, 1994; 3(1): 15-17.