论著腹腔镜下胆囊管V切成型治疗Ⅱ型Mirizzi综合征的疗效分析田野，曹晓飞，周晶作者单位:225300江苏，泰州市人民医院肝胆外科(田野，曹晓飞)，肿瘤科(周晶)作者简介:田野，医学硕士，主治医师，研究方向:肝胆外科疾病的诊治。E-mail:tianye2010077@163．com通信作者:周晶，医学博士，主治医师，研究方向:胆道肿瘤的诊治。E-mail:tianyr1@163．com［摘要］目的分析腹腔镜下胆囊管V切成型治疗Ⅱ型Mirizzi综合征的临床疗效。方法回顾性分析2019年1月至2022年1月泰州市人民医院肝胆外科收治的6例Ⅱ型Mirizzi综合征患者的临床资料，对其诊断方法、手术方式及远近期疗效进行分析。结果6例患者均成功施行腹腔镜下胆囊管V切成型，修补胆道缺损，T管支撑减压。术中胆道镜探查未发现胆道损伤，术后无胆漏，随诊至今无结石复发、滋生小胆囊及胆道狭窄。结论腹腔镜下胆囊管V切开成型治疗Ⅱ型Mirizzi综合征效果良好。［关键词］腹腔镜;胆管成型;胆囊切除［中图分类号］Ｒ657.4［文献标识码］A［文章编号］1674－3806(2023)02－0160－05doi:10．3969/j．issn．1674－3806．2023．02．12AnalysisontheefficacyoflaparoscopiccysticductVcuttingandmoldingintreatmentoftypeⅡMirizzisyn-dromeTIANYe，CAOXiao-fei，ZHOUJing．DepartmentofHepatobiliarySurgery，TaizhouPeople'sHospital，Jiangsu225300，China［Abstract］ObjectiveToanalysetheclinicalefficacyoflaparoscopiccysticductVcuttingandmoldingintreat-mentoftypeⅡMirizzisyndrome．MethodsTheclinicaldataof6patientswithtypeⅡMirizzisyndromewhowereadmittedtotheDepartmentofHepatobiliarySurgeryofTaizhouPeople'sHospitalfromJanuary2019toJanuary2022wereretrospectivelyanalyzed，andthediagnosticmethods，thesurgicalmethods，andtheshort-andlong-termtreatmenteffectsofthepatientswereanalyzed．ＲesultsAllthe6patientsweresuccessfullytreatedwithlaparoscopiccysticductVcuttingandmoldingtorepairthebiliaryductdefects，anddecompressedbythesupportofTtube．Afterintraoperativebiliaryendoscopicexploration，therewerenobiliarytractinjury，nopostoperativebiliaryleakage，norecurrenceofstones，nooccurrenceofsmallgallbladderandnobiliarytractstenosisuptonow．ConclusionLaparoscopiccysticductVcuttingandmoldinghasagoodtherapeuticeffectontypeⅡMirizzisyndrome．...
