腹腔镜下经胆囊管内置管(c管)引流术

Laparoscopic c-tube biliary drainage

目的:阐述腹腔镜下经胆囊管内置管(c管)的方法,并探讨c管引流术的适应证和优点.方法:回顾性分析2006-2008年于我院行c管引流术的7名患者的手术方式、术后拔管时间及并发症发生率等.结果:腹腔镜下c管放置术后引流通畅;术后无胆漏发生;无胆道出血;术后平均拔除c管时间约为2wk;拔管后患者无发热,无黄疸,2例出现体外固定c管周围皮肤轻度红肿.结论:腹腔镜c管引流术,适应证明确,具有多种优点,在微创胆道外科发挥着重要作用,值得推荐.

AIM： To elucidate the method of laparoscopic use of c-tube, and to explore its indications and advantages. METHODS： Seven patients who underwent laparoscopic c-tube biliary drainage at our hospital between the period of April 2006 and August 2008 were retrospectively reviewed. Patients＇ operative methods, postoperative drainage removal time, and complications were analyzed. RESULTS： Laparoscopic were successful with no placements of c-tube obstruction, no bile leakage, and no biliary hemorrhage. The post- operative c-tube removal time averaged around 2 weeks and patients experienced no fever or jaundice; 2 of 7 patients had mild epidermal swelling around the c-tube external fixation. CONCLUSION： Laparoscopic c-tube biliary drainage has clear indications and advantages; it plays an important role in minimal-invasive biliary surgery and is strongly recommended.