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腹腔镜胆总管探查术后22例并发症分析 被引量:3

Clinical analysis of the complications after laparoscopic common bile duct exploration:with a report of 22 cases
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摘要 目的:总结腹腔镜胆总管探查术(laparoscopic common bile duct exploration,LCBDE)术后的并发症及防治方法。方法:回顾分析1996年10月至2008年6月我院行436例LCBDE中22例患者发生并发症的临床资料。结果:22例患者中,6例术后发生胆漏,3例术后早期发生"T"管脱落,11例胆总管残石,2例"T"管拔除后胆漏。22例均痊愈出院。结论:娴熟的腹腔镜技术和腹腔镜下胆道镜技术是减少LCBDE并发症的关键因素。 Objective : To discuss the prevention and treatment of complications after laparoscopic common bile duct exploration (LCBDE). Methods:The clinical data of 22 cases with complications after LCBDE from Oct. 1996 to Jun. 2008 were collected and analyzed retrospectively. Results: Among the 22 cases, postoperative bile leakage occurred in 6 cases, T-tube defluvium in 3 cases, remnant stone in the common bile duct in 11 cases and bile leakage after exelcymosis of T-tube in 2 cases. All cases recovered after appropriate treatment. Conclusions:The skilled laparoscopic and choledochoscopic techniques should be guaranteed to prevent the complications of LCBDE.
出处 《腹腔镜外科杂志》 2009年第5期353-354,共2页 Journal of Laparoscopic Surgery
关键词 腹腔镜术 胆总管结石 胆道镜检查 并发症 Laparoscopy Cboledocholithiasis Choledochoscopy Complication
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参考文献3

  • 1龚仁华,蔡军,范育林,何新苗,张懿,刘其春.腹腔镜胆总管探查术临床分析[J].肝胆外科杂志,2005,13(2):99-100. 被引量:17
  • 2Holdsworth RJ,Sadek SA,Ambikar S,et al.Dynamics of bile flow through the human choledochal sphincter following exploration of the common blie duct[J].World J Surg,1989,13(3):300-306.
  • 3Dorman JP,Franklin ME Jr.Laparoscopic common bile duct exploration by choledochotomy[J].Semin Laparosc Surg,1997,4(1):34-41.

二级参考文献3

  • 1Lauter DM,Froines EJ. Laparoscopic common duct exploration in the management of chledocholithiasisi[J]. Am J Surg, 2000,179:372-374.
  • 2Dorman JP, Franklin ME Jr. Laparoscopic common duct exploration by choledochotomy [J].Semin Laparosc Surg, 1997,4:34-41.
  • 3Robert J, Fitzgibbons Jr, Glennc G. Laparoscopic suegeon and common bile duct[J]. World J Surg,2001,25:1317-1324.

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