摘要
目的总结运用腹腔镜胆总管切开取石T管引流术急诊治疗重症急性胆管炎(acute cholangitis ofsevere type,ACST)的治疗经验。方法1993年9月至2006年12月间,运用腹腔镜胆总管切开取石T管引流术的手术方式(包括胆总管切开,胆管镜取石,T管引流等)有选择地对45例重症急性胆管炎患者进行急诊手术治疗。结果重症急性胆管炎45例中,急诊完成腹腔镜胆总管切开取石T管引流术45例,无中转开腹。术后胆漏2例,应激性溃疡出血1例;术后死亡1例。术后其他多种并发症均经非手术综合疗法治愈。结论只要选择合适的病例,腹腔镜胆总管切开取石T管引流术急诊治疗重症急性胆管炎,对于有较高胆管镜和腹腔镜技术者是可行、有效和安全的。
Objective To summarize the experience of laparoscopic choledocholithotomy with T-tube drainage foracute cholangitis of severe type（ACST） .Methods From September 1993 to December 2006, forty-five cases with ACST were undergone the operation. Main methods included choledochotomy, choledochoscopic excploration and T-tube drainage. Results Of 45 cases with ACST, 45 were undergone emergency laparoscopic treatment, no cases were shifted to open CBD exploration. Bile leakage of 2 cases and hemorrhage of ulcer of 1 cases were cured postoperatively. One cases died postoperatively. Conclusion If patients axe suitable, lapamscopic choledoeholithotomy with T-tube drainage for ACST is safe and efficacious for a skilled doctor.
出处
《肝胆胰外科杂志》
CAS
2007年第2期85-87,共3页
Journal of Hepatopancreatobiliary Surgery
关键词
重症急性胆管炎
胆结石
腹腔镜
acute cholangitis of severn type
cholelithiasis
laparoscopy
