摘要
目的总结腹腔镜联合纤维胆道镜治疗胆总管结石的体会,扩大腹腔镜手术治疗范围。方法回顾性分析22例行腹腔镜胆总管切开探查、胆道镜取石、T管引流术(LCTD)患者的临床资料。结果22例患者,手术成功21例,平均手术时间120 min,中转开腹1例,均留置T管。术后第1天可下床活动和进食,术后第2周T管造影拔管,无一例发生胆汁漏、胆道狭窄、胆道出血和残余结石等手术并发症。结论腹腔镜胆总管探查术具有痛苦小、损伤轻、恢复快、腹腔脏器干扰少等优点,同时又能取得与开腹手术相同的治疗效果。
Objective To sum up the experiences of laparoscopy combined with fibercholangioscopy for the treatment of choledochohthiasis and expand the scope of laparoscopic operation. Methods The clinical data of the laparoscopic choledochotomy, cholangiolithotomy and T-tube drainage were retrospectively analyzed in 22 patients.Restults In 22 patients, operations were peffomaed successfully in 21 cases, the average operation time was 120 min. One case was changed from fibercholedochoscopy to laparotomy. T-tube was indwelled in choledochus in all patients. Patients could move off bed and ingest on the first day after operation. T-tube could be withdrawn in two weeks post-operatively. No pest-operative complications, such as bile leakage, stenosis of the biliary tract, hematobilia and residual stone were reported. Conclusion The laparoscopic choledochotomy has many advantages, such as less suffering, mild damage, rapid recovery and less dysfunction of visceral organs, and can achieve the same effects as lapamtomy.
出处
《肝胆胰外科杂志》
CAS
2005年第4期292-293,共2页
Journal of Hepatopancreatobiliary Surgery
