摘要
目的：探讨腹腔镜治疗胆囊管结石的方法和效果。方法：回顾分析38例腹腔镜治疗胆囊管结石的临床资料。结果：胆囊管远端结石18例，胆囊管近端结石12例，胆囊管结石Calot三角严重粘连3例，分别采用不同手术方法处理胆囊管。胆囊管结石嵌顿诱发急性胆囊炎5例，中转开腹手术，术后常规放置腹腔引流管。其中，术后4例发生引流管漏胆汁，引流1～3周胆漏停止，拔除引流管痊愈。结论：腹腔镜治疗胆囊管结石较为困难。只有采取灵活的手术方式，才能达到良好的治疗效果。
Objective： To evaluate the treatment effect and method of laparoscopic surgery in the calculus of cystic duct. Methods： 21 calculus of cystic duct patients treated by laparoscopic surgery were analyzed retrospectively. Results： 18 cases with distal end calculus of cystic duct and 12 case with proximal end calculus of cystic duct, calot triangle adhesive acutely caused by calculus of cystic duct in 3 patients, different operation means were used to handle cystic duct. acute cholecystitis taken placed in 5 patients induced by calculus of cystic duct and had to convert to open opreation, drainage tubes were placed routinely after operation. Bile leakage emerged in 4 patients and cured by 1-3 weeks. Conclusion： It is more diffcuh to treat calculus of cystic duct by laparoscopic surgery. Satisfactory therapeutic efficacy cannot be got unless suitable operation means are used.
出处
《腹腔镜外科杂志》
2006年第4期334-335,共2页
Journal of Laparoscopic Surgery
关键词
腹腔镜
胆囊管结石
应用研究
Laparoscopy
Calculus of cystic duct
Exploratory development
