胆囊切除术后胆道残留结石14例防治对策

Prevention and treatment of residual gallstone after cholecystectomy

摘要: 目的: 探讨胆囊切除术后胆道残留结石的原因及防治措施。方法: 对14例胆囊切除术后胆石残留的临床资料进行回顾性分析。结果: 12例是术前并存的胆道结石漏诊,2例是医源性胆道结石残留。结论: 对残留结石的预防可以通过术前检查,术中多途径探查胆道,避免胆道二次手术。

Abstract: Objective: To investigate the cause of residual gallstones after cholecystectomy as well as the prevention and treatment method.Methods: Fourteen patients with residual stone after cholecystectomy were retrospectively reviewed.Results: The missed diagnosis of gallstone before operation was found in 12 patients and the iatrogenic residual stone was found in two patients.Conclusions: Patients must be examined carefully before operation and several methods of exploration of common bile duct can avoid secondary operation.