摘要
目的总结临床355例胆道手术的体会。方法临床355例胆道疾病患者,采用腹腔镜、开腹术式、胆肠吻合术、介入治疗(PTCD、ERCP、支架)等等;结果围手术期死亡0例,术中死亡0例,术后死亡4例,324例获得随访,296例症状缓解,术后残余结石10例,复发18例。结论手术或保守方式应当系统化、个体化。术前应详细了解患者的既往病史、目前的主要症状和体征,术前综合分析各种影像学资料,根据病情选择合理的胆道术式,可使胆道的治疗效果进一步提高。
Objective Summarize 355 cases of biliary tract operations. Methods Adopt methods of laparoscope, open abodominal, choleintestine shunt, intervention therapy ( PTCD, ERCP, stand) ; Results Zero case death during operation,4 cases of death after operation, 324 cases follow-up,296 cases symptom relieved, 10 cases remain stone, 18 cases recurred after operation; Conelutions Every patient should be evaluated individuational. Surgical doctor should know the details of history、symptom、imaging informations before operation,then adopt reasonable method.
出处
《国际外科学杂志》
2008年第1期17-19,共3页
International Journal of Surgery
关键词
胆道疾病
胆道手术
腹腔镜
介入治疗
biliary tract disease
biliary tract operation
laparoscope
intervention therapy