腹腔镜胆总管探查术64例临床分析

Clinical Analysis of Laparoscopic Common Bile Duct Exploration (64 Cases Report)

目的总结腹腔镜胆总管探查术（laparoscopic common bile duct exploration，LCBDE）治疗胆总管结石的临床经验和疗效。方法回顾性分析64例施行LCBDE患者的临床资料。结果中转开腹3例，成功施行LCBDE 61例，其中行胆总管一期缝合．21例，T管引流40例。平均手术时间110（60～180）min，平均住院时间7（5～14）d。术后发生胆漏2例，胆总管残石3例。47例平均随访18个月，结石复发3例，经再手术治愈。结论LCBDE治疗胆总管结石创伤小、住院时间短、痛苦小，对符合手术适应证的患者而言，不失为一种安全有效的方法。

Objective To study the clinical experience and effect of laparoseopic common bile duet exploration（LCBDE）. Method The data of 64 eases underwent LCBDE was retrospectively analysed. Resuits 3 cases conversed to open surgery.. In the 61 cases completed LCBDE, 21 cases received primary suture and 40 eases received T-tube drainage. 2 eases suffered from bile leakage and 3 eases from remnant stone after operation. In the 47 cases who were followed up, reeurrent calculi were found in 3. Conclusion In the patients with indications, LCBDE is a safe and effective method for choledoeholithiasis with advantages of minitrauma, short hospitalization and little pain.