摘要
目的探讨胆囊管结石的诊断和腹腔镜手术处理的方法。方法回顾性分析温州医科大学附属第二医院外科2008年6月至2013年6月期间收治的147例胆囊管结石患者的临床资料。结果 147例胆囊管结石患者中,术前经B超和CT检查诊断19例,术中经腹腔镜探查发现128例。顺利完成腹腔镜胆囊切除术（LC）146例,中转开腹手术1例。术后随访3个月-2年,平均7个月,均未出现胆管损伤、出血、胆瘘、残留结石等并发症。结论胆囊管结石的术前诊断较为困难,术中常规进行胆囊管探查对于胆囊管结石的诊断非常必要,熟练掌握腹腔镜下胆囊管结石治疗的手术技巧是LC术成功的关键。
Objectives To investigate the diagnosis and laparoscopic surgical treatment methods of calculus of cystic duct. Methods The clinical data of 147 patients with calculus of cystic duct underwent laparoscopic cholecystectomy（LC） in the Second Affiliated Hospital of Wenzhou Medical College from June 2008 to June 2013 were analyzed retrospectively. Results Among the 147 patients with calculus of cystic duct, 19 cases were given preoperative diagnosis by B-ultrasound and CT scanning, 128 cases were found by exploration in operation; 146 cases underwent LC successfully and 1 case was converted to laparotomy. The 147 cases were followed-up for 3 months to 2 years with an average of 7 months and all cases were out of bile duct injury, hemorrhage, bile leakage, residual calculi or other complications. Conclusions Preoperative diagnosis of calculus of cystic duct is difficult, meanwhile, routine intraoperative probe is very necessary for the diagnosis of calculus of cystic duct. Proficiency in surgical technique with laparoscopic treatment of calculus of cystic duct is the key to the success of LC.
出处
《中国普外基础与临床杂志》
CAS
2015年第4期472-474,共3页
Chinese Journal of Bases and Clinics In General Surgery
关键词
腹腔镜胆囊切除术
胆囊管
结石
Laparoscopic cholecystectomy
Cystic duct
Calculus
