摘要
【目的】提高腹腔镜胆总管探查术手术技能,拓展手术适应证。【方法】回顾性总结2003年1月至2008年1月570例腹腔镜胆总管探查术临床病例,阐述手术体会。[结果]10例中转开腹,560例获手术成功。平均手术时间95min,术后5例胆漏,4例胆道残石,术后随访375例6个月到5年无胆道狭窄表现。【结论】腹腔镜胆总管探查手术不仅安全可行,而且将会成为胆道探查的主要术式。
[Objective] To improve the surgical technique of laparoscopic common bile duct exploration (LCBDE) and expand the indications of LCBDE. [Methods] A retrospective summarize was investigated in 570 patients who were treated with LCBDE in our hospital from January 2003 to January 2008, and the surgical technique was explored. [Results] A total of 560 cases operated successfully. Ten cases converted to laparotomy and the average operation time was 95 minutes, Biliary fistula occurred in 5 cases and residual stones occurred in 4 cases. The 375 cases were followed up from 6 months to 5 years after operation and no bile duct stricture occurred. [Conclusion] LCBDE is practicable and safe,so it should be the main method of common bile duct exploration.
出处
《医学临床研究》
CAS
2009年第5期817-819,共3页
Journal of Clinical Research
关键词
胆总管/外科学
外科手术
腹腔镜
common bile duct/SU
surgical procedures,laparoscopic