摘要
目的 探讨腹腔镜治疗复发性胆总管结石的方法与疗效。方法 回顾分析 1999年 10月至 2 0 0 3年10月经腹腔镜胆总管探查术 (LCBDE)治疗的 2 9例胆道术后胆总管复发结石的临床资料。结果 2 8例手术成功 ,1例中转开腹。 2 3例借助内镜鼻胆管引流 (ENBD)导管Ⅰ期缝合胆总管探查切口 ,6例胆总管内放置T管引流。术后无胆漏及残石等并发症。手术时间平均 15 1min ,术后平均住院 10 3d。结论 腹腔镜手术治疗胆道术后胆总管复发结石安全、可行 ,体现了微创治疗的优点。但腹腔镜下分离粘连及解剖、缝合胆总管较困难 。
Objective To study the method of applying laparoscopy to the treatment of recurrent choledocholithiasis after operation on biliary tract, and discuss the therapeutic efficacy. Methods The data of 29 cases of recurrent bile duct stones after operation from October 1999 to October 2003 were retrospectively analyzed.The patients received laparoscopic common bile duct exploration (LCBDE). Results Satisfactory outcome was achieved, except that conversion to open surgery occurred in one for duodenal injury due to lysis; 23 cases received primary suture by employing endoscopic nasobiliary drainage (ENBD);6 cases received T-tube drainage. There was neither residual stones left nor serious complications including biliary fistula and hemobilia. Mean operative time was (151.0±32.7) mins. Mean postoperative hospital stay was (10.3±1.8) days. Conclusion The combined procedure is a feasible and safe alternative, but the techniques of lysis of adhesions,dissecting choledochus, and suture on the incision are especially difficult.
出处
《中国实用外科杂志》
CSCD
北大核心
2004年第6期360-362,共3页
Chinese Journal of Practical Surgery