腹腔镜胆总管探查术的临床应用体会(附36例报告)

Clinical experiences of laparoscopic common bile duct exploration:a report of 36cases

目的:探讨腹腔镜胆总管探查术治疗胆石症的技术关键。方法:回顾性分析我院36例患者行腹腔镜胆总管探查术的临床资料。结果:36例患者中34例成功实施了腹腔镜胆总管探查术,其中胆总管Ⅰ期缝合8例,T管引流26例;中转开腹2例。术后发生胆漏2例。手术时间1～3h,术中出血30～100ml,住院时间5～14d。结论:腹腔镜胆总管探查术治疗胆石症安全可靠。

Objective ：To study the clinical application of laparoscopic common bile duct exploration in treatment of cboledocbolitbiasis. Methods ： The data of 36 cases undergone laparoscopic common bile duct exploration were analyzed retrospectively. Resuits ： Laparoscopic common bile duct exploration,was performed in 34 cases, primary suture was performed in 8 cases and T-tube drainage in 26 cases. Conversion to open surgery was made in 2 cases,2 cases suffered from bile leakage. The operative time was 1-3h,tbe intraoperative blood loss was 30-100ml, hospitalization were 5-14d. Conclusions：Laparoscopic common bile duct exploration is a safe method to treat gallstone concomitant with choledocholithiasis with the advantages of light pain, rapid recovery and short hospitalization.