摘要
目的：探析腹腔镜联合胆道镜治疗胆管结石的临床效果和可行性。方法：选取2013年10月-2014年10月本院收治的行腹腔镜联合胆道镜治疗的胆管结石患者75例作为研究对象,回顾性分析其资料。结果：75例患者均成功完成手术,无一例中转开腹手术,其中行胆总管一期缝合15例,占20%,行T管引流60例,占80%;平均手术用时（103.5±35.4）min;平均术中出血量为（93.5±19.3）m L;平均胃肠道功能恢复时间为（1.6±1.1）d;平均住院时间为（8.7±3.5）d;术后出现1例胆漏,经腹腔引流后痊愈;3例胆道残石,经T管胆道镜下完成取石,所有患者均康复出院;术后随访6~10个月,无患者复发。结论：临床上运用腹腔镜联合胆道镜治疗胆管结石,是比较可靠和有效的一种方法。
Objective： To analyze and discuss the clinical effect and feasibility of laparoscopy combined with choledochoscopy in treatment of bile duct stones.Method： A total of 75 cases of laparoscopy combined with choledochoscopy in treatment of bile duct stones from October 2013 to October 2014 in our hospital were selected as the research objects, retrospective analysis was performed.Result： All patients were successfully completed surgery, and 1 cases without conversion to open surgery.One stage suture for bile duct was 15 cases, accounting for 20%, and for T tube drainage was 60 cases, accounting for 80%.The mean operative time was （ 103.5 ± 35.4 ） min, the average amount of bleeding was （ 93.5 ± 19.3 ） mL, the average recovery time of gastrointestinal function was （ 1.6± 1.1 ） d, the average hospitMization time was （ 8.7 ± 3.5 ） d.Postoperative bile leakage was 1 cases, it recovered after abdominal drainage.3 cases of biliary residual stones by choledochoscope via T tube completion of stone, all patients were discharged.Patients were followed up for 6 to 10 months without recurrence.Conclusion： Clinical application of laparoscopy combined with choledochoscopy in treatment of bile duct stones is a reliable and effective method.
出处
《中国医学创新》
CAS
2016年第12期127-129,共3页
Medical Innovation of China
关键词
胆管结石
腹腔镜
胆道镜
可行性
Bile duct stones
Laparoscope
Choledochoscope
Feasibility
