经胆囊管行术中胆道镜胆道探查87例分析

Evaluation of transcystic common bile duct exploration with choledochoscope:a report of 87 cases

目的探讨经胆囊管行术中胆道镜胆道探查的临床应用价值。方法对1997年9月至2004年12月82例开腹胆囊切除术病人经胆囊管行术中胆道镜胆道探查术,5例腹腔镜下经胆囊管行胆道镜胆道探查术资料进行回顾性分析。结果病人结石清除率为100%,术后平均住院7.2d。结论在无禁忌证的前提下,无论是开腹还是腹腔镜手术,应首先考虑经胆囊管途径行胆道镜胆道探查取石术。

Objective To evaluate the clinical application of transcystic common bile duct exploration with choledochoscope for choledocholithiasis. Methods Between September 1997 and December 2004,82 cases of open transeystic common bile duct exploration with choledochoscope and 5 cases of lapamscopic transcystic common bile duct exploration with choledochoscope were performed. The data were analyzed retrospectively. Results The clearance rate of stones of common bile duct was 100% and 3 cases got incision fat liquefaction. The mean postoperative hospital stay was 7.2 days. Conclusion In both of open and laparoscopic operation,it should choose transcystic common bile duct exploration with choledochoscope first without contraindications.