腹腔镜联合输尿管镜行胆道探查术

Application of laparoscopy and choledochoscopy to common bile duct exploration

目的探讨腹腔镜联合输尿管镜在胆总管探查取石术中的应用。方法回顾分析2007年30例腹腔镜联合输尿管镜胆总管探查取石术患者临床资料。结果腹腔镜下27微创手术成功,3例中转开腹,术后常规放置T管引流,术后14～19d拔管,平均住院时间10d,无结石残留,并发胆漏1例。结论腹腔镜联合输尿管镜在胆总管探查取石术中的应用是安全可靠的,且创伤小,恢复较快。

[Objective] To evaluate the effect of ureteroscopy and laparoscopy in common bile duct exploration. [Methods] Clinical data of 28 cases who had received laparoscopy combined with ureteroscopy for exploration of common bile duct stones since 2007 were retrospectively studied. [Results] Minimally invasive laparoscopic surgery was successful in 28 patients, three of which converted to open surgery. Conventional T-tube drainage was adopted routinely, extubation was done in 14 to 19 days. The average length of hospital stay was 10 days. There were no residual stones, but one case had bile leakage. [Conclusion] Laparoscopy combined with ureteroscopy for common bile duct exploration is safe and reliable with less trauma and quick recovery.