摘要
目的:总结腹腔镜治疗胆总管结石的体会。方法:为12例患者行腹腔镜胆总管切开探查取石术(LCBDE)。结果:12例中成功12例,1例术后T形管造影发现胆总管有残余结石,经胆道镜取出。12例术后胆总管均放置T形管引流,并放置腹腔引流管。结论:与剖腹手术比较,LCBDE创伤小,出血少,恢复快。为提高手术成功率,须严格掌握手术适应证,充分做好术前准备及正确处理术后并发症,具备熟练的LC操作技巧,术中如配合胆道造影及胆道镜技术,LCBDE将更加完善。
Objective:To study the experience of laparoscope in treating choledocholithiasis.Methods: 12 patients were done laparoscope choledocholithotomy with exploration (LCBDE) .Results: 12 cases succeed, while a little calculus was found in one patient's choledochus after operation, and was taken out using choledochoscope. T - tube were put in choledochus in the 12 patients, and abdominal suction tube. Conclusion: Comparing with ce-liotomy, LCBDE has some advantages in small wound, little bleeding and quick recovery. The operator should master the operation indication, make full preparation and deal with postoperative complication correctly. If cooperating with choledochography and choledochoscope technique, LCBDE will be more perfect.
出处
《腹腔镜外科杂志》
2001年第3期140-141,共2页
Journal of Laparoscopic Surgery
关键词
胆总管结石
腹腔镜
Common bile duct calculi
Laparoscopy
