摘要
目的：探讨腹腔镜胆囊切除术（1aparoscopiccholecystectomy，LC）术中主动中转开腹并免置“T”管的临床意义。方法：回顾分析117例LC主动中转开腹患者的临床资料，中转后使用胆道镜经胆囊管或胆囊管胆总管联合切开探查取石术。结果：根据主动中转的评分方法，6～7分为相对中转指征，≥8分为绝对中转指征。阳性发现63例（53．8％），其中胆总管输入性结石58例，右肝管结石2例，肝门部结石1例，胆囊管结石嵌顿2例，均未放置“T”管，术后无结石残留和胆道狭窄。结论：LC术中适时主动中转开腹手术，联合使用胆道镜检查或取石，不放置“T”管，具有重要的临床意义。
Objective：To explore the clinical significance of active conversion to open surgery combined with choledochoseopy without T-tube drainage during laparoscopic cholecystectomy （LC）. Methods：Clinical data of 117 cases undergoing active conversion into open surgery during LC was collected and retrospectively analyzed. Choledochoscopic exploration and cholelithotomy were performed via cystic duct or cystic duct and common bile duct. Results ： According to the scoring system of active conversion to open surgery, relative indication was suggested when the score was 6 to 7 ,and absolute indication was suggested when the score was 〉18. The positive rate was 53.8 % （ 63 cases） among the 117 cases, 58 of which were inputted choledocholithiasis, 2 right hepatic duct stones, 1 hepatic portal stones, and 2 incarceration of cystic duct calculus. T-tube was not placed in all cases, and there were no residual calculus or biliary passage stricture cases. Conclusions：Timely conversion to open surgery combined with choledochoscopy without T-tube drainage during LC are of great clinical significance.
出处
《腹腔镜外科杂志》
2010年第3期212-214,共3页
Journal of Laparoscopic Surgery
关键词
胆囊切除术
腹腔镜
胆道镜检查
Cholecystectomy, laparoscopic
Choledochoscopy
