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保胆取石术适应证及术后结石复发预防措施的再认识

李衍飞 杜前程 张蒙召 梅学鹏 陈屹冲 周瀛 樊海宁

引用本文:
Citation:

保胆取石术适应证及术后结石复发预防措施的再认识

DOI: 10.3969/j.issn.1001-5256.2019.03.054
基金项目: 

2015年青海省临床重点专科-肝胆胰外科(2015-1714); 青海省科学技术厅重大科技专项(2016-SF-A5); 

详细信息
  • 中图分类号: R657.42

Reconsideration of indications for gallbladder-preserving cholecystolithotomy and preventive measures for postoperative recurrence of gallstones

Research funding: 

 

  • 摘要: 内镜微创保胆取石术是保留胆囊、治疗胆囊结石的一种手术方式,而结石复发是保胆取石术的一个热门问题。选择合适的手术适应证及采取有效的术后预防措施,可能降低术后胆囊结石的复发率。综述了微创保胆取石术相关的适应证及术后结石复发预防措施,以进一步认识结石复发的影响因素,为微创保胆取石术治疗胆囊结石提供指导意义。

     

  • [1] SIDDIQUI AA, KEDIKA R, MAHGOUB A, et al. A previouscholecystectomy increases the risk of developing advancedadenomas of the colon[J]. South Med J, 2009, 102 (11) :1111-1115.
    [2] KERLAN RK Jr, La BERGE JM, RING EJ. Percutaneous chole-cystolithotomy:Preliminary experience[J]. Radiology, 1985, 157 (3) :653-656.
    [3] ZOU YP, DU JD, LI WM, et al. Gallstone recurrence aftersuccessful percutaneous cholecystolithotomy:A 10-year fol-low-up of 439 cases[J]. Hepatobiliary Pancreat Dis Int, 2007, 6 (2) :199-203.
    [4] DONALD JJ, CHESLYNCURTIS S, GILLAMS AR, et al. Percu-taneous cholecystolithotomy:Is gall stone recurrence inevita-ble?[J]. Gut, 1994, 35 (5) :692-695.
    [5] ZHANG BS, LIU JS. Endoscope-assisted removal of chole-cystolithiasis by gallbladder reservation:Report of 1520 cases[J/CD]. Chin J Oper Proc Gen Surg:Electronic Version, 2009, 3 (1) :39-41. (in Chinese) 张宝善, 刘京山.内镜微创保胆取石1520例临床分析[J/CD].中华普外科手术学杂志:电子版, 2009, 3 (1) :39-41.
    [6] LIU JS, LI JZ, ZHAO QK, et al. The analysis of follow-up resultsof 612 cases of cholecystolithinsis treated with the minimal inva-sive operation with gallbladder preserved via choledochoscopy[J]. Chin J Surg, 2009, 47 (4) :279-281. (in Chinese) 刘京山, 李晋忠, 赵期康, 等.纤维胆道镜下胆囊切开取石保胆治疗胆囊结石612例随访结果分析[J].中华外科杂志, 2009, 47 (4) :279-281.
    [7] LIU JS, RONG WS, DENG Y, et al. The multi-center investiga-tion on operative complications for patients with cholelithiasis[J].China J Endosc, 2011, 17 (10) :1009-1013. (in Chinese) 刘京山, 荣万水, 邓勇, 等.胆石症术后不良反应多中心联合调查分析[J].中国内镜杂志, 2011, 17 (10) :1009-1013.
    [8] LYGIA S. Iatrogenic biliary injuries:Identification, classifica-tion, and management[J]. Surg Clin North Am, 2014, 94 (2) :297-310.
    [9] APREA G, CANFORA A, FERRONETTI A, et al. Morpho-func-tional gastric pre-and post-operative changes in elderly pa-tients undergoing laparoscopic cholecystectomy for gallstone re-lated disease[J]. BMC Surgery, 2012, 12 (1) :1-5.
    [10] FAN H, ZHANG SJ. Comparison of efficacy between choledo-choscopic gallbladder-preserving cholelithotomy and laparo-scopic cholecystectomy in treatment of gallstones:A meta-a-nalysis[J]. J Clin Hepatol, 2015, 31 (10) :1665-1670. (inChinese) 樊华, 张生军.胆道镜保胆取石术与腹腔镜胆囊切除术治疗胆囊结石效果比较的Meta分析[J].临床肝胆病杂志, 2015, 31 (10) :1665-1670.
    [11] YANG B, HOU YZ, WANG XF, et al. Risk factors for gall-stones in Tibetan Plateau[J]. J Clin Hepatol, 2018, 34 (4) :789-794. (in Chinese) 杨波, 侯永志, 王翔飞, 等.西藏高原地区胆囊结石危险因素分析[J].临床肝胆病杂志, 2018, 34 (4) :789-794.
    [12] XU Q, TAO LY, WU Q, et al. Prevalences of and risk factorsfor biliary stones and gallbladder polyps in a large Chinesepopulation[J]. HPB (Oxford) , 2012, 14 (6) :373-381.
    [13] ZHU L, AILI A, ZHANG C, et al. Prevalence of and risk fac-tors for gallstones in Uighur and Han Chinese[J]. World JGastroenterol, 2014, 20 (40) :14942-14949.
    [14] CHEN CH, HUANG MH, YANG JC, et al. Prevalence and riskfactors of gallstone disease in an adult population of Taiwan:An epidemiological survey[J]. J Gastroenterol Hepatol, 2010, 21 (11) :1737-1743.
    [15] CONDAT B, ZANDITENAS D, BARBU V, et al. Prevalence oflow phospholipid-associated cholelithiasis in young femalepatients[J]. Dig Liver Dis, 2013, 45 (11) :915-919.
    [16] CHENG M. Study on the relationship between gallstone andblood lipid, blood glucose and sex hormone levels[D]. AnhuiMedical University, 2017. (in Chinese) 程敏.胆囊结石与血脂、血糖、血清性激素水平的相关性研究[D].安徽医科大学, 2017.
    [17] ZOU YF. The effect of the risk factors of stone recurrence aftercholecystolithotomy on the preserving gallbladder surgery indi-cation[D]. Dalian Medical University, 2016. (in Chinese) 邹玉锋.保胆取石术后结石复发危险因素对保胆手术适应症的影响[D].大连医科大学, 2016.
    [18] MNDEZSNCHEZ N, CHAVEZTAPIA NC, MOTOLAKUBA D, etal. Metabolic syndrome as a risk factor for gallstone disease[J].World J Gastroenterol, 2005, 11 (11) :1653-1657.
    [19] LUO ZL, WANG T, TIAN FZ, et al. Relationship between me-tabolism syndrome and recurrence of cholecystolithiasis aftergallbladder-preserving therapy[J]. Chin J Gen Prac, 2012, 10 (7) :1010-1011. (in Chinese) 骆助林, 汪涛, 田伏洲, 等.保胆取石术后复发与代谢综合征的相关性观察[J].中华全科医学, 2012, 10 (7) :1010-1011.
    [20] EVERHART JE. Contributions of obesity and weight loss to gall-stone disease[J]. Ann Intern Med, 1993, 119 (10) :1029-1035.
    [21] CUI Y, LI Z, ZHAO E, et al. Risk factors in patients with he-reditary gallstones in Chinese pedigrees[J]. Med Princ Pract, 2012, 21 (5) :467-471.
    [22] LI QF, XU X, GE X. Gallstone recurrence after minimally-in-vasive cholecystolithotomy with gallbladder reservation:A fol-low-up of 720 cases[J]. Eur Rev Med Pharmacol Sci, 2015, 19 (8) :1403-1406.
    [23] LIU Q, JIN JZ, LYU HY, et al. Analysis of influence factors ofgallstone[J]. Chin J Bases Clin General Surg, 2016, 23 (12) :1492-1495. (in Chinese) 刘清, 金俊哲, 吕洪洋, 等.胆囊结石的相关危险因素分析[J].中国普外基础与临床杂志, 2016, 23 (12) :1492-1495.
    [24] LEE S, KWEON O, WAN HK. Associations between serumleptin levels, hyperlipidemia, and cholelithiasis in dogs[J].PLo S One, 2017, 12 (10) :e0187315.
    [25] XU HJ, REN PT, SHAO HJ, et al. Variations of serum lipids, leptin and cholecystokinin after the minimally invasive surgeryof gallbladder-preserving cholecystolithotomy[J]. China JEndosc, 2016, 22 (1) :15-18. (in Chinese) 许焕建, 任培土, 邵惠江, 等.微创保胆取石前后血脂、血瘦素及胆囊收缩素水平的变化[J].中国内镜杂志, 2016, 22 (1) :15-18.
    [26] YU L, HE XD, WU Q, et al. The risk factors for type 2 diabe-tes complicated with gallstones[J]. Chin J HepatobiliarySurg, 2011, 17 (9) :790-792. (in Chinese) 于岚, 何小东, 武峤, 等. 2型糖尿病合并胆囊结石相关危险因素的研究进展[J].中华肝胆外科杂志, 2011, 17 (9) :790-792.
    [27] MITSUKAWA T, TAKEMURA J, OHGO S, et al. Gallbladderfunction and plasma cholecystokinin levels in diabetes mellitus[J]. Am J Gastroenterol, 1990, 85 (8) :981-985.
    [28] YU L, HE XD, WU Q, et al. Clinical analysis of risk factors fortype 2 diabetes mellitus complicated with gallstone disease[J]. Chin J Dig Surg, 2011, 10 (2) :110-112. (in Chinese) 于岚, 何小东, 武峤, 等. 2型糖尿病合并胆囊结石的相关危险因素[J].中华消化外科杂志, 2011, 10 (2) :110-112.
    [29] CAI F. Study on factors influncingthe course of asymptomaticcholecystolithiasis[D]. Shihezi University, 2016. (in Chinese) 蔡飞.影响无症状胆囊结石病程因素的研究[D].石河子大学, 2016.
    [30] YAN T, WU HR, GU CW. A case-control study of hazard ofcholecystolithiasis recurrence after cholecystolithotomy withgallbladder reservation[J]. Anhui Med Pharm J, 2011, 15 (5) :583-584. (in Chinese) 燕涛, 吴浩荣, 谷春伟.保胆取石术后结石复发危险因素病例对照研究[J].安徽医药, 2011, 15 (5) :583-584.
    [31] CHEN C, XIE JM, SUN YH, et al. Analysis of the risk factorsfor recurrent gallbladder calculi in trauma surgery for calculi re-moval and gallbladder preservation[J/CD]. Chin J Laparo-scopic Surgery:Electronic Edition, 2015, 8 (6) :49-52. (inChinese) 陈超, 谢佳明, 孙亦晖, 等.保胆取石术后结石复发的危险因素分析[J/CD].中华腔镜外科杂志:电子版, 2015, 8 (6) :49-52.
    [32] TAN YY, ZHAO G, WANG D, et al. A new strategy of minimal-ly invasive surgery for cholecystolithiasis:Calculi removal andgallbladder preservation[J]. Dig Surg, 2013, 30 (4-6) :466-471.
    [33] QIU JP, SHEN GH, GAO QG, et al. Evaluation of gallbladderfunction after laparoscopic choledochoscopic cholecystectomyand cholecystolithotomy[J]. J Mod Med Health, 2017, 33 (9) :1364-1365. (in Chinese) 邱建平, 沈根海, 高泉根, 等.腹腔镜联合胆道镜行胆囊切开保胆取石术后胆囊功能评估[J].现代医药卫生, 2017, 33 (9) :1364-1365.
    [34] TRIFONOVAV, SAFUTDINOV RG. Factors affecting con-tractile function of the gall blader in patients with cholelithiasis[J]. Eksp Klin Gastroenterol, 2012, 4:16-20.
    [35] WANG XB, SHI YB, LU B, et al. A comparative study of gall-bladder function before and after laparoscopic choledochosco-py combined with minimally invasive gallstone-preservingsurgery[J/CD]. Chin J Clinicians:Electronic Edition, 2012, 6 (15) :195-196. (in Chinese) 王新波, 石玉宝, 鲁蓓, 等.腹腔镜胆道镜联合微创保胆取石术前后胆囊功能的比较研究[J/CD].中华临床医师杂志:电子版, 2012, 6 (15) :195-196.
    [36] SHI YB, LIU B, LU B, et al. Comparison of the effect of mini-mally invasive cholecystectomy and laparoscopic cholecystec-tomy on patients[J]. J Pract Med, 2013, 29 (4) :609-611. (in Chinese) 石玉宝, 刘斌, 鲁蓓, 等.微创保胆取石术与腹腔镜胆囊切除术对患者影响的比较[J].实用医学杂志, 2013, 29 (4) :609-611.
    [37] GURUSAMY K, KO CW, MIQUEL JF, et al. Gallstones[J].Nat Rev Dis Primers, 2016, 2:16024.
    [38] QI JA, LI ZF, WANG ZD, et al. Application of percutaneoustranshepatic gallbladder drainage for acute calculous chole-cystitis in special population[J/CD]. Chin J Hepat Surg:E-lectronic Edition, 2018, 7 (1) :30-34. (in Chinese) 祁军安, 李宗芳, 王志东, 等.经皮经肝胆囊穿刺引流术在特殊人群急性结石性胆囊炎治疗中的应用[J/CD].中华肝脏外科手术学电子杂志, 2018, 7 (1) :30-34.
    [39] JONDERKO K, NOWAK A, KASICKA-JONDERKO A, et al.Effect of cigarette smoking on gallbladder emptying and fillingin man[J]. Am J Gastroenterol, 1994, 89 (1) :67-71.
    [40] LIU B, BALKWILL A, RODDAM A, et al. Separate and jointeffects of alcohol and smoking on the risks of cirrhosis andgallbladder disease in middle-aged women[J]. Am J Epide-miol, 2009, 169 (2) :153-160.
    [41] YAN T. A case-control study of hazard of cholecystolithiasis (gallbladder polyps) recurrence after cholecystolithotomy withgallbladder reservation[D]. Soochow University, 2011. (inChinese) 燕涛.保胆取石 (息肉) 术后结石 (息肉) 复发危险因素病例对照研究[D].苏州大学, 2011.
    [42] KASICKA-JONDERKO A, JONDERKO K, BO Z·EK M, et al.Potent inhibitory effect of alcoholic beverages upon gastroin-testinal passage of food and gallbladder emptying[J]. J Gas-troenterol, 2013, 48 (12) :1311-1323.
    [43] HE M, HUANG AH, ZHOU ZH, et al. Formation of foam cellsin gallbladder mucosal layer is associated with cholesterol gall-stone and cholecystic polypus[J]. J Tongji Univ:Med Sci, 2014, 35 (3) :5-9. (in Chinese) 何敏, 黄安华, 周智辉, 等.泡沫细胞形成与胆固醇结石及胆囊息肉形成的相关性研究[J].同济大学学报:医学版, 2014, 35 (3) :5-9.
    [44] WANG WL, MENG ZX, ZHOU SJ, et al. Reduced beta2-gly-coprotein I protects macrophages from ox-LDL-inducedfoam cell formation and cell apoptosis[J]. Lipids Health Dis, 2013, 12 (1) :1-9.
    [45] ZHANG H, PAN YZ, ZHANG H, et al. Contrastive study for treat-ment of cholecystolithiasis by minimally invasive cholecystolithoto-my with gallbladder reservation combined tauroursodeoxycholicacid and laparoscopic cholecystectomy[J/CD]. Chin J Clini-cians:Electronic Edition, 2014, 8 (5) :47-51. (in Chinese) 张宏, 潘耀振, 张浩, 等.微创保胆取石术联合牛磺熊去氧胆酸与腹腔镜胆囊切除术治疗胆囊结石的对比研究[J/CD].中华临床医师杂志:电子版, 2014, 8 (5) :47-51.
    [46] LUO ZL, CHEN LG, MIAO JG, et al. A clinical study on tauroursodeoxycholic acid for the relapse of cholelithiasis after gall-bladder-protected lithotomy[J]. China J Endosc, 2012, 18 (2) :166-168. (in Chinese) 骆助林, 陈理国, 苗建国, 等.口服滔罗特预防保胆取石术后结石复发的临床观察[J].中国内镜杂志, 2012, 18 (2) :166-168.
    [47] ZHAN C, XIONG A, SHEN D, et al. Characterization of theprincipal constituents of danning tablets, a Chinese formulaconsisting of seven herbs, by an UPLC-DAD-MS/MS ap-proach[J]. Molecules, 2016, 21 (5) :e631.
    [48] LU QP. Problems needing attention in gallbladder benign dis-eases[J]. Chin J Dig Surg, 2017, 16 (4) :349-354. (inChinese) 卢绮萍.胆囊良性疾病中应关注的问题[J].中华消化外科杂志, 2017, 16 (4) :349-354.
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