摘要
目的:探讨腹腔镜胆囊切除(laparoscopic cholecystectomy,LC)联合胆总管探查(laparoscopic common bile duct ex-ploration,LCBDE)Ⅰ期缝合术治疗胆囊结石并胆总管结石的可行性。方法:回顾分析2008年10月至2009年11月为58例胆囊结石并胆总管结石患者施行LC+LCBDE的临床资料,术中一期缝合胆总管,于Winslow孔放置腹腔引流管。结果:56例手术获得成功,2例中转开腹。术后患者恢复顺利,无并发症发生,平均9 d(5～10 d)不带管出院。术后随访2～6个月,均无异常。结论:腹腔镜胆囊切除联合胆总管探查Ⅰ期缝合术疗效满意,患者创伤小,康复快,并发症少,值得进一步探索与推广。
Objective：To assess the feasibility of laparoscopic cholecystectomy （LC） combined laparoscopic common bile duct exploration （LCBDE） with primary closure in the treatment of cholecystolithiasis and choledocholithiasis. Methods：The retrospective a- nalysis was made on the clinical data of the 58 patients with cholecystolithiasis and choledocholithiasis from Oct. 2008 to Nov. 2001. All patients underwent LC ＋ LCBDE with primary closure of common bile duct, and abdominal drainage tube was placed in Winslow fora- men. Results：Fifty-six operations were successful, and 2 cases were converted to laparotomy. All patients had satisfactory recovery with no complications. The mean hospital stay was 9 d （5-10 d） , and the patients were discharged without drainage tube. The patients showed normal during the postoperative follow-up of 2-6 months, no abnormal results were found. Conclusions ： LC ＋ LCBDE with pri- mary closure is safe, feasible and minimally invasive in treatment of cholecystolithiasis and choledocholithiasis with low incidence of comDlications.ouick recovery and satisfactory curative affect. It is w,~rth fiJrlher re^earch.
出处
《腹腔镜外科杂志》
2011年第11期838-840,共3页
Journal of Laparoscopic Surgery
