摘要
目的总结达芬奇手术机器人系统(Da Vinci surgical system,DVSS)对胆石症合并胆囊十二指肠瘘的治疗方法。方法回顾分析我院1例经DVSS治疗的胆石症合并胆囊十二指肠瘘的临床资料。结果患者反复右上腹疼痛不适20余年,疼痛再次发作伴发热入院。术前诊断为慢性胆囊炎急性发作、胆囊结石、胆总管结石。在DVSS辅助下行胆囊切除术、胆总管切开取石T管引流术,术中见十二指肠球部及胆囊壶腹部各有一直径1 cm瘘口,即行瘘口修补术,手术顺利。术后补充诊断:胆囊十二指肠瘘。术后3个月随访,无并发症。结论 DVSS应用于复杂胆道系统疾病的治疗,术野清晰,操作简单,手术创伤小,术后恢复快,具有临床推广价值。
Objective To summarize the methods of Da Vinci Surgical System（DVSS） in treatment of cholelithiasis combined with cholecystoduodenal fistula.Methods The clinical data of a patient with cholelithiasis and cholecystoduodenal fistula treated by DVSS were retrospectively analyzed.Results The patient had repetatus iterative pains and indisposition on the right upper quadrant for over 20 years,and was admitted to the hospital for attacking pain with fever.He was diagnosed as having chronic cholecystitis with acute episode,cholecystolithiasis,and choledocholith before surgery.Cholecystectmy and extraction of bile duct stones with T tubules drainage were performed with the help of DVSS,and orificium fistulae kposthesis was performed when a 1cm orificium fistulae was found both in duodenal ampulla and cystic duodenal ampulla during the operation.Complement diagnosis after surgery was cholecystoduodenal fistula.None complication occurred during a 3-month follow-up.Conclusion DVSS in treatment of complicated biliary system disease has advantages of clear surgical visual fields,easy operation,less invasion and quick recovery.
出处
《临床误诊误治》
2011年第7期25-26,F0003,共3页
Clinical Misdiagnosis & Mistherapy
关键词
胆囊结石病
胆总管结石
胆瘘
手术机器人
腹腔镜
Cholecystolithiasis
Choledocholith
Bilitary fistular
Surgical robotics
Laparoscope
