摘要
目的探讨腹腔镜下钬激光碎石术在难取性肝胆管结石治疗中的临床应用价值。方法观察腹腔镜下胆总管切开应用钬激光碎石术治疗22例肝胆管难取性结石的临床疗效及并发症。结果22例均碎石、取石成功,无死亡病例。探查后胆总管一期缝合3例,T管引流19例,术中经胆囊管操作成功2例,平均术后住院时间6.8d。结论腹腔镜下钬激光碎石术治疗难取肝胆管性结石创伤小,恢复快,碎石充分,结石取净率高。为肝胆管难取性结石治疗开辟了一条新的治疗途径。
Objective To investigate the value of clinical use of holmium laser lithotripsy under a laproscope in the treatment of refractory hepatolithiasis stones.Methods Holmium laser lithotripsy was performed under a laproscope for refractory hepatolithiasis stones in 22 patients.The curative effects and postoperative complications were observed.Results The operation was successfully performed in all 22 patients without death.Of the 22 patients,3 underwent one-stage suturing of the common bile duct and 19 T-shape tube drainage.Transcystic bile duct exploration was performed in 2 patients.The mean hospital stay was 6.8 days.Conclusions Holmium laser lithotripsy under a laproscope for refractory hepatolithiasis stones has the advantages of minimal invasion,quick recovery and satisfactory lithotripsy effects.It can be selected as a new therapeutic choice for the treatment of refractory hepatolithiasis stones.
出处
《中华普外科手术学杂志（电子版）》
2009年第3期42-43,共2页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
关键词
碎石术
激光
腹腔镜
胆结石
Lithotripsy, laser
Laparoscopes
Cholithiasis
