期刊文献+

复发性胆总管结石的腹腔镜治疗 被引量:7

Laparoscopic therapy for postoperative recurrent choledocholithiasis.
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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
关键词 复发性胆总管结石 腹腔镜 外科治疗 胆总管探查术 Recurrent bile duct stones Laparoscope Common bile duct exploration
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参考文献6

  • 1Shuchleib S, Chousleb A, Mondragon A, et al. Laparoscopic common bile duct exploration. World J Surg, 1999, 23(7): 698-701 被引量:1
  • 2Keeling NJ, Menzies D, Motson RW. Laparoscopic exploration of the common bile duct: beyond the learning curve. Surg Endosc, 1999, 13(2): 109-112 被引量:1
  • 3Zinsser E, Hoffmann A, Will U, et al. Success and complication rates of diagnostic and therapeutic endoscopic retrograde cholangiopancreatography-a prospective study. Z Gastroenterol, 1999, 37(8): 707-713 被引量:1
  • 4Bourke MJ, Elfant AB, Alhalel R, et al. Sphincterotomy-associated biliary strictures: features and endoscopic management. Gastrointest Endosc, 2000, 52(4): 494-499 被引量:1
  • 5Lai KH, Peng NJ, Lo GH, et al. Prediction of recurrent choledocholithiasis by quantitative cholescintigraphy in patients after endoscopic sphincterotomy. Gut, 1997, 41(3): 399-403 被引量:1
  • 6李宁,秦明放,邹富胜,王庆,勾承月.Mirizzi综合征的微创外科治疗[J].中华消化内镜杂志,2002,19(6):336-338. 被引量:13

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  • 1陈安平,肖宏,温宜清,刘安,田刚,宋安宁,高珂,黄纪伟.腹腔镜胆总管探查术的临床应用(附822例报告)[J].中国实用外科杂志,2005,25(6):365-366. 被引量:41
  • 2陈安平,鲁美丽,高珂,黄纪伟,刘安,田刚,宋安宁.腹腔镜胆总管探查术中即时缝合胆总管切口427例体会[J].中华肝胆外科杂志,2005,11(6):375-377. 被引量:18
  • 3张能维,路夷平,王桐生,宫轲,赵爱民,李凯,刘晨,王睿斌,赵霞.腹腔镜胆总管切开取石T管引流术[J].中国微创外科杂志,2006,6(9):693-694. 被引量:32
  • 4李哲夫,陈孝平,苏亚非.老年人复发性胆总管结石术后再复发[J].中国普通外科杂志,2007,16(7):704-705. 被引量:8
  • 5Zinsser E, Hoffmann A, Will U, et al. Success and complica tion rates of diagnostic and therapeutic endoscopic retrograde cholangiopancreatography: a prospective study[J]. Z Gastro- enterol, 1999,37 : 707-713. 被引量:1
  • 6Bourke MJ, Elfant AB, Alhalel R, et al. Sphincterotomy-as- sociated biliary strictures: features and endoscopic manage- ment[J]. Gastrointest Endosc, 2000,52 : 494-499. 被引量:1
  • 7Lai KH, Peng NJ, Lo GH, et al. Prediction of recurrent cho- ledocholithiasis by quantitative cholescintigraphy in patients af- ter endoscopic sphincterotomy[J]. Gut, 1997,41:399-403. 被引量:1
  • 8Tanaka M. Advances in research and clinical practice in motor disorders of the sphincter of Oddi[J]. J Hepatobiliary Pancreat Surg, 2002,9 : 564-568. 被引量:1
  • 9Phillips EH, Toouli J, Pitt HA, et al. Treatment of common bile duct stones discovered during cholecystectomy [J]. Gastrointest Surg, 2008, 12(4): 624-628. 被引量:1
  • 10Anrold JC,Benz C,Martin WR,et al.Endoscopic papillary ballon dilation vs.sphincterotomy for removal of common bile duct stones: a prospective randomized pilot study [J].Endoseopy ,2001,33(7): 563. 被引量:1

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