摘要
目的探讨三孔法腹腔镜胆总管探查术的临床价值. 方法回顾分析2000年5月～2002年12月三孔法腹腔镜胆总管探查术42例,其中行EST取石失败31例,腹腔镜胆囊切除术中造影发现胆总管结石11例. 结果所有手术均成功,手术时间(122±26.4)min,术后残余结石3例(7%),2例行术后EST取石成功,1例行经T管肝素溶石.术后4～5周拔除T管,无胆漏发生. 结论三孔法腹腔镜胆总管探查术操作安全、可靠,与EST相结合,可以达到较好的治疗效果.
Objective To evaluate the clinical significance of 3-port laparoscopic common bile duct exploration (LCBDE).Methods We reviewed 42 patients who had undergone 3-port LCBDE from May 2000 to December 2002, including 31 cases of failed EST and 11 cases of choledocholith detected by intraoperative cholangiography during laparoscopic cholecystectomy (LC). Results All the operations were successfully completed. The operation time was 122±26.4 min. Residual stones were found in 3 cases (7%), 2 of which received EST and the other one of which underwent litholytic treatment using heparin by way of the T-tube. The T-tube was removed 4~5 weeks after the surgery. No bile leakage occurred. Conclusions Three-port LCBDE is a safe and reliable procedure and gets better effects if combined with EST.
出处
《中国微创外科杂志》
CSCD
2005年第2期140-141,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
腹腔镜
胆总管
结石
治疗
Laparoscopy
Common bile duct
Calculus
Therapy
