腹腔镜胆总管切开探查取石术的临床应用

Clinical application of laparoscopic common bile duct exploration and calculus removed

目的：探讨腹腔镜下胆总管探查取石术的临床价值。方法：回顾分析25例胆囊结石合并胆总管结石患者的临床资料。结果：除1例胆总管下端结石嵌顿，胆道镜取石失败中转手术外，余24例全部手术成功，术后6。8周造影正常拔管，无并发症发生。结论：腹腔镜胆总管切开探查取石术创伤小，恢复快，手术安全，可达到良好的治疗效果。

Objective：To explore the clinical value of laparoscopic common bile duct exploration and calculus removed, Methods：Clinical datas of 25 cases with gallstone and choledocholith were analysied. Results：Only one case was defeated because of the stones incarceration in choledochal lower segment and had to turn to laparotomy. The others operation were successful. T-tube was drawn after operation 6-8 weeks, and without complications. Conclusions：The laparoscopic common bile duct exploration and calulus removed is a safe,little wound,fast recovery and good therapeutic effect method in treating calculus of bile duct.