摘要
目的探讨悬吊式腹腔镜联合胆道镜经胆囊管治疗胆总管结石的应用。方法应用悬吊式腹腔镜切除胆囊后,经扩张的胆囊管,在纤维胆道镜引导下,用取石网篮取净结石或体内微爆破碎石仪粉碎结石后冲洗,吸净结石。结果本组11例手术均获成功,无胆漏、出血、脏器损伤等并发症,术后24～48h复查B超均无结石残留,4d出院。随访3～12月无结石复发及胆道狭窄等并发症。结论悬吊式腹腔镜联合胆道镜经胆囊管治疗胆总管结石是目前微创治疗胆总管结石的理想手术方式,充分体现了微创外科技术的优点,安全,有效,具有创伤小、恢复快、并发症少,住院时间短等优点。
Objective To investigate the clinical use of suspended laparoscopy combined with choledochoeopy through duet of gallbladder in treatment of choledocholithiasis. Methods Using suspended laparoseopy cut the gallbladder, then through the expanded duet of gallbladder, with the guide of fibre choledochoseope, dislodge the stones with calculus net, or crash, douche and suck the stones by vivo little blasting galet instrument. Results All the 11 patients were operated successfully without complications. Them were rechecked through B ultrasound after 24-48h, no calculus remained, and left the hospital in the fourth day after operation. No calculus palindromia and biliary tract stenosis happened followed up 3-12m. Conclusions Suspended laparoscopy combined with choledochoscopy through duct of gallbladder in treatment of choledocholithiasis is an ideal mean to cure choledocholithiasis with little trauma. It has the merit of safe, efficient, smaller injure, recovered rapidly, little complications and short length of stay.
作者
罗黔
姚健
陈川
LUO Qian, YAO Jian, CHEN Chuan （Satebtliary Surgery Department,Luzhou People＇s Hospital,Luzhou 646000, China）
出处
《医学信息》
2010年第22期4192-4194,共3页
Journal of Medical Information
关键词
悬吊式腹腔镜
纤维胆道镜
胆总管结石
suspended laparoscopy
fibre choledochoscope
choledocholithiasis
