摘要
目的:总结老年患者腹腔镜胆总管切开取石T管引流术的临床体会。方法:分析56例胆囊结石并胆总管结石运用腹腔镜下胆囊切除胆总管切开取石术的术式及病例资料特点。结果:52例在腹腔镜下完成胆囊切除胆总管切开取石T管置入术,无死亡病例。结论:腹腔镜联合胆道镜行胆囊切除、胆总管切开探查取石、T管引流术具有安全可靠、患者损伤小、康复快、住院时间短等优点,是治疗胆囊结石、胆总管结石的有效术式。
Ohjective：To summarize the clinical experience of laparoscope combined with choledochoscope in choledoehotomy for exploration, stone removal and T-tube drainage in aged patients. Methods： The mini-invasive operative methods and clinical characteristics of 56 cases of common bile duct stones with gallbladder stones treated with laparoscopic cbolecystectomy and common bile duct expoloration-T tube drainage were analyzed. Results： The operation of laparoscopic cholecystectomy（LC） and LCBDE-T tube drainage was performed on 52 cases successfully. No operative complications occurred. Conclusion： Laparoscope combinedwith choledochoscope in laparoscopic cholecystectomy and choledochotomy for exploration, stone removal and T-tube drainage is safe and reliable.Damage in patients are minor, who recovermore quickly and with shorter hospitalization time.Thismethod is feasible in treatment of calculi in gallbladder and bile duet.
出处
《中国医药导刊》
2010年第6期926-927,共2页
Chinese Journal of Medicinal Guide
关键词
老年人
腹腔镜术
胆道镜
胆总管结石
Aged patients
Laparoscopy
Choledochoseope
Commonbile duct calculi
