摘要
目的:总结应用腹腔镜联合胆道镜治疗胆总管结石的体会。方法:回顾分析2003年1月至2009年5月成都市第五人民医院联合应用腹腔镜胆道镜治疗胆总管结石的临床资料。结果:经胆囊颈管取石成功21例,切开胆总管取石27例,其中胆总管I期缝合17例,T管引流31例,3例术后发生胆总管残余结石,经T管窦道胆道镜取石治愈,5例中转开腹。结论:选择合适病例,腹腔镜联合胆道镜治疗胆总管结石患者创伤小,效果好,且安全可靠。
Objective： To summarize the experience in laparoscopy combined with choledochoscopy in treating calculi of common bile duet. Methods： The clinical data of 53 patients undergoing choledochoscopy from January 2005 to may 2009 in the Fifth people＇s hospital of Cheng Du during the advanced study of author were retrospectively analyzed. Results：Twenty-one patients were cured by removal of calculi from pipeline of gallbladder neck. 27 patients were cured from cutting open common bile duct. Among of them, 17 patients received I stage suturing up of bile duct after taking out calculi. Out of 6 patients with T tube, remnants of calculi in common bile duct were seen in 3 case. Calculi were taken out through chotedochoscopy from T tube. 5 cases were changed to dissect the abdomen in the operation. Conclusion： In suitable eases, laparoscopy combined with choledoehoscopy are safe and efective in treatment of calculi in common bile duct with the advantages of less trauma.
出处
《华西医学》
CAS
2009年第9期2256-2258,共3页
West China Medical Journal
关键词
胆总管探查
胆道镜
胆总管结石
腹腔镜手术
exploration of the common bile duct（ECBD）
choledochoscope
choledocholithiasis
laparoscopy
