摘要
目的探讨腹腔镜联合胆道镜胆总管探查术的手术技巧及临床价值。方法回顾性分析68例胆囊结石合并胆总管结石患者实施腹腔镜联合胆道镜胆总管探查术的临床资料。结果66例患者手术成功，其中16例行一期缝合术，2例中转开腹，术后4例发生胆漏，经保守治疗7～10d后痊愈。3例有结石残留，经二次窦道取石成功。术后平均住院天数7d，随访1～3年均无结石复发、胆管狭窄等并发症发生。结论腹腔镜联合胆道镜胆总管探查术安全有效、康复快，是治疗胆囊结石合并胆总管结石的理想术式。
Objective To discuss the operative technique and the clinical value of laparoscopic and cholangioscopic common bile duct exploration. Mothods The clinical data of 68 patients undergoing LCBDE were collected and analyzed retrospectively. Flosults 66 operations were performed successfully, 2 cases were converted to open surgery. 4 cases of bile leakage occurred and cured by 7-10 d conservative, 3 cases of residual bile duct calculi were removed by II stage choledochoscopy through T tube sinus. The mean postoperative hospital stay was 7 d. Follow-up observations lasted for 1 to 3 years in 66 cases and no residual stones and stenosis of bile duct were found. Conclusion LCBDE is reliable efficacy and quick recovery, and it is ideal and mini-invasive to treatment of cholecystolithiasis complicated with choledocholithasis.
出处
《当代医学》
2015年第25期56-57,共2页
Contemporary Medicine
关键词
腹腔镜检查
胆总管结石
胆总管探查术
Laparoscopy
Choledocholithiasis
Common bile duct exploration
