摘要
目的 :探讨纤维胆道镜和腹腔镜联合治疗胆总管结石 ,胆总管切口一期缝合术式的治疗效果。方法 :回顾性病例分析及文献综述。结果 :82例胆囊结石并胆总管结石病人 ,在腹腔镜下行胆总管切开 ,纤维胆道镜探查取石 ,取出结石 6 9例 ,无结石 10例 ,胆总管一期缝合 79例 ,取石失败中转开腹 3例 ;手术平均时间 90min ,平均出血 5 0ml,术后第 1天病人即可进食 ,2～ 3d下床活动 ,术后 5d左右可以出院。结论 :腹腔镜下胆总管切开 ,纤维胆道镜取石后行胆总管一期缝合是一疗效好、安全性大的微创手术 ,只要胆总管结石取挣、肝外胆总管无狭窄 ,都可以一期缝合 ,该术式具有创伤小、痛苦少、恢复快、并发症少等优点 ,值得推广应用。
Objective: To investigate the effects of choledochofiberscopy combined with laparoscopy for common bile duct (CBD) stones without T tube during laparoscopic cholecystectomy(LC). Methods: Eighty-two patients of gallbladder stone companied with CBD stones of primary and secondary form 1998.9～2002.3. were analyzed restrospectively. Results: Choledochofiberscopy was successfully performed in 69 cases ,and their CBD stones were cleared completely;Ten cases were detected nothing ;CBD incision were sutured without T tube; Three cases converted to open sugery.Average operative time was 90 minutes; average bleeding volume was 50ml ;taking food were permited 12～24 hours after operation;activity were permited 2～3 days after operation; patients were discharged 5 days after operation.Complication with operation occurred nothing. Conclusion: Intraoperative choledochofiberscopy for CBD stones without T tube during LC is a safe and minimal traumatic operation with less complication. CBD incision suture without T tube were done when CBD stones were cleared completely and non-stricture with extra- hepatic bile duct. The application of this method will spread deservedly.
出处
《中国内镜杂志》
CSCD
2002年第12期4-6,共3页
China Journal of Endoscopy
